Organization
SOUTHSIDE EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BENAVIDES (OFFICE ADMINISTRATOR)
(907) 561-1167
Entity
Organization
Contact information
Practice address
9350 INDEPENDENCE DR, ANCHORAGE, AK 99507-4613
(907) 561-1167
(907) 561-7051
Mailing address
9350 INDEPENDENCE DR, ANCHORAGE, AK 99507-4613
(907) 561-1167
(907) 561-7051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
03/05/2025
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