Organization
KODIAK VISION CLINIC & SALLY'S EYELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERIMIAH MYERS O.D. (OWNER/OPTOMETRIST)
(907) 486-6117
Entity
Organization
Contact information
Practice address
214 W REZANOF DR, KODIAK, AK 99615-6044
(907) 486-6117
Mailing address
214 W REZANOF DR, KODIAK, AK 99615-6044
(907) 486-6117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AAO102
AK
Other
Enumeration date
10/17/2007
Last updated
04/07/2017
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