NPI 1417992553

Levi Marc Porter, OD

Practitioner Optometrist Eagle River, AK

Practice location

Address: 16331 Heritage Pl STE 104, Eagle River, AK 99577-7753
Phone: (907) 753-7515
Fax: (907) 753-7585

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 249T (AK)

Other Optometrist providers in Alaska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3145AT (OR)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 299T (WY)

Registry record

NPI: 1417992553
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 4 Oct 2017

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.