Organization
ALASKA EYE CARE CENTERS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA SMITH (BILLING SUPERVISOR)
(907) 272-2557
Entity
Organization
Contact information
Practice address
1700 E PARKS HWY # 300, WASILLA, AK 99654-7352
(907) 376-5266
(907) 373-1887
Mailing address
1700 E PARKS HWY # 300, WASILLA, AK 99654-7352
(907) 376-5266
(907) 373-1887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161247
MEDICARE PTAN
AK
01
—
K162810
MEDICARE PTAN
AK
05
—
OD0011
—
AK
05
—
OD02071
—
AK
05
—
OD1158
—
AK
05
—
OD1173
—
AK
05
—
OD1187
—
AK
05
—
OD5329
—
AK
05
—
OP0096
—
AK
05
—
OP0200
—
AK
05
—
VG0200
—
AK
Enumeration date
03/02/2007
Last updated
01/16/2023
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