Individual
AUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4505 E GREENSTREET CIR, WASILLA, AK 99654-8425
(079) 376-2020
(907) 357-3937
Mailing address
4505 E GREENSTREET CIR, WASILLA, AK 99654-8425
(079) 376-2020
(907) 357-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
147991
AK
Other
Enumeration date
08/13/2019
Last updated
10/06/2021
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