Organization
CLASSIC EYEWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MCDANELD (OPTICIAN)
(907) 376-9173
Entity
Organization
Contact information
Practice address
935 E WESTPOINT DR, STE 207, WASILLA, AK 99654
(907) 376-9173
(907) 376-8180
Mailing address
PO BOX 870450, WASILLA, AK 99687-0450
(907) 376-9173
(907) 376-8180
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
172
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD0090
—
AK
Enumeration date
12/01/2006
Last updated
06/19/2008
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