Organization
EYE CLINIC OF FAIRBANKS, INC
Active
Organization
EYE CLINIC OF FAIRBANKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD W. ZAMBER M.D. (PRESIDENT)
(907) 456-7760
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, SUITE 103, FAIRBANKS, AK 99701-5937
(907) 456-7760
(907) 451-7916
Mailing address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 451-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
292621
AK
207W00000X
Ophthalmology Physician
Primary
292621
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0030
BLUE
AK
05
—
MDG576
—
AK
Enumeration date
11/17/2006
Last updated
06/22/2012
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