Organization
EYE CLINIC OF FAIRBANKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
1001 NOBLE ST, SUITE 410, FAIRBANKS, AK 99701-4922
(907) 458-7768
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
11/05/2010
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