Individual
DR. EDWARD BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
4045 LAKE OTIS PKWY, STE 203, ANCHORAGE, AK 99508-5227
(907) 562-2020
(907) 563-4821
Mailing address
4045 LAKE OTIS PKWY, STE 203, ANCHORAGE, AK 99508-5227
(907) 562-2020
(907) 563-4821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
119
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD1190
—
AK
05
—
OP1190
—
AK
Enumeration date
09/25/2006
Last updated
11/25/2008
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