Individual
MR. RICKY DEAN SWEARINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Contact information
Practice address
351 CARLANNA LAKE ROAD, KETCHIKAN, AK 99901
(907) 225-2020
(907) 247-2015
Mailing address
351 CARLANNA LAKE ROAD, KETCHIKAN, AK 99901
(907) 225-2020
(907) 247-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
74
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP0074
—
AK
Enumeration date
01/16/2007
Last updated
07/08/2007
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