Individual
DR. ROBERT D O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
110 S WILLOW ST, UNIT #108, KENAI, AK 99611-7798
(907) 283-7575
(907) 283-6156
Mailing address
110 S WILLOW ST, UNIT #108, KENAI, AK 99611-7798
(907) 283-7575
(907) 283-6156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
081
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005437435
AETNA
AK
01
—
410026661
RAILROAD MEDICARE
AK
05
—
OP0081
—
AK
Enumeration date
09/27/2005
Last updated
11/18/2016
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