Organization
WOLF EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN WALKER (PRACTICE ADMINISTRATOR)
(907) 352-3464
Entity
Organization
Contact information
Practice address
4505 E GREENSTREET CIRCLE, WASILLA, AK 99654
(907) 376-2020
(907) 357-3937
Mailing address
4505 E GREENSTREET CIRCLE, WASILLA, AK 99654
(907) 376-2020
(907) 357-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
4915
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K163165
MEDICARE PTAN
AK
Enumeration date
11/24/2009
Last updated
03/14/2012
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