Whalio Doctors

NPI 1356523831

Dj Kosterman OD LLC

Organisation Optometrist Eagle River, AK

Practice location

Address
11401 Old Glenn Hwy STE 106b, Eagle River, AK 99577-7747
Phone
(907) 696-8733
Fax
(907) 696-8735

Authorised official

Name
Dan J Kosterman
Title
Sole Proprietor
Phone
(907) 696-3031

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 161 (AK)

Registry record

NPI
1356523831
Entity type
Organization
NPI issued
27 Nov 2007
Record last updated
23 Sep 2015

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.