Organization
BRIAN E COE DIABETIC VISION FOUNDATION INC
Active
Other names
PRISM CARES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PEDIGO OD (DIRECTOR)
(907) 206-6000
Entity
Organization
Contact information
Practice address
1515 E TUDOR RD STE 7, ANCHORAGE, AK 99507-1036
(907) 206-6000
Mailing address
1515 E TUDOR RD STE 7, ANCHORAGE, AK 99507-1036
(907) 206-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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