Organization
NORTH STAR OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROCCO ROBILOTTO O.D (OWNER)
(917) 518-1909
Entity
Organization
Contact information
Practice address
5710 DENALI ST, ANCHORAGE, AK 99518-1342
(907) 444-8854
(888) 612-1315
Mailing address
203 W 121ST ST, SUITE 1, NEW YORK, NY 10027-6218
(917) 518-1909
(888) 612-1315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
252
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1618715
—
AK
Enumeration date
09/04/2014
Last updated
09/28/2014
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