NPI 1225307945
Optical Center
Practice location
- Address
- Ft. Wainwright Aafes Exchange Bldg 3703, Oak St., Ft. Wainwright, AK 99703
- Phone
- (907) 356-1227
- Mailing address
- 296 Grayson Hwy, Lawrenceville, GA 30046-5737
Authorised official
- Name
- Susan Edick
- Title
- Mc Asst
- Phone
- (678) 892-3774
Registered specialties
Optician
Primary
Registry record
- NPI
- 1225307945
- Entity type
- Organization
- NPI issued
- 27 Dec 2011
- Record last updated
- 27 Dec 2011
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.