Organization
PRISM EYE ASSOCIATES LLC
Active
Parent organization
PRISM EYE ASSOCIATES LLC
Other names
Ketchikan Weekend Eye Clinic, Prism Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRISM EYE ASSOCIATES LLC
Authorized official
DAVID J PEDIGO OD (MANAGING MEMBER)
(907) 891-7191
Entity
Organization
Contact information
Practice address
3137 TONGASS AVE STE C, KETCHIKAN, AK 99901-5745
(907) 885-3999
Mailing address
1515 E TUDOR RD STE 5, ANCHORAGE, AK 99507-1036
(907) 885-3999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
08/30/2021
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