NPI 1386719953

Daniel J Kosterman, OPTOMETRIST

Practitioner Optometrist Eagle River, AK

Practice location

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

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPTT161 (AK)

Other Optometrist providers in Alaska →

Optometrist

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

Registry record

NPI: 1386719953
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2006
Record last updated: 16 May 2018

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.