NPI 1407125123

Optical Center

Organisation Optician Eielson, AK

Practice location

Address: 451 Broadway Street Eielson Afb Aafes Exchange, Eielson, AK 99702
Phone: (907) 372-5106
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

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Alaska →

Registry record

NPI: 1407125123
Entity type: Organization
NPI issued: 27 Dec 2011
Record last updated: 9 Jan 2012

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.