NPI 1194305417
Prism Eye Associates LLC
Practice location
- Address
- 3137 Tongass Ave STE C, Ketchikan, AK 99901-5745
- Phone
- (907) 885-3999
- Mailing address
- 1515 E Tudor Rd STE 5, Anchorage, AK 99507-1036
Authorised official
- Name
- David J Pedigo
- Title
- Managing Member
- Phone
- (907) 891-7191
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1194305417
- Entity type
- Organization
- NPI issued
- 12 Apr 2021
- Record last updated
- 30 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.