Individual
JOHN CHARLES COBBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1867 AIRPORT WAY STE 150A, FAIRBANKS, AK 99701-4061
(907) 452-2131
(907) 452-2618
Mailing address
PO BOX 55777, NORTH POLE, AK 99705-0777
(907) 452-2131
(907) 452-2618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0076
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP0076
MEDICAID
AK
Enumeration date
08/29/2006
Last updated
12/13/2011
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