Organization
AGAPE PENINSULA EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN K HOLM O.D. (OWNER/MEMBER)
(907) 252-2285
Entity
Organization
Contact information
Practice address
55562 RAZOR CT, CLAM GULCH, AK 99568
(907) 252-2285
(888) 623-2285
Mailing address
PO BOX 287, CLAM GULCH, AK 99568-0287
(907) 252-2285
(888) 623-2285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
334
AK
Other
Enumeration date
04/01/2014
Last updated
12/12/2017
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