Organization
NORTHERN LIGHTS OPTICAL
Active
Other names
Specs in the City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E WHITE OPTICIAN (MANAGER)
(907) 796-3937
Entity
Organization
Contact information
Practice address
8745 GLACIER HWY, SP. 426, JUNEAU, AK 99801-8029
(907) 796-3937
(907) 796-3940
Mailing address
8745 GLACIER HWY, SP. 426, JUNEAU, AK 99801-8029
(907) 796-3937
(907) 796-3940
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
305833
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP7385
—
AK
Enumeration date
03/15/2007
Last updated
05/15/2008
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