Organization
PERSONETT FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD PERSONETT O.D. (OPTOMETRIST)
(907) 452-2131
Entity
Organization
Contact information
Practice address
1867 AIRPORT WAY, SUITE 150-A, FAIRBANKS, AK 99701-4054
(907) 452-2131
(907) 452-2131
Mailing address
1214 RIDGEPOINTE DR, FAIRBANKS, AK 99709-5737
(907) 452-2131
(907) 452-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K162115
MEDICARE PTAN
AK
05
—
VG0005
—
AK
Enumeration date
11/17/2008
Last updated
09/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us