Organization
LASER VISION USA, INC.
Active
Other names
Alaska Lasik Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W COULTER M.D. (PRESIDENT)
(907) 569-1551
Entity
Organization
Contact information
Practice address
235 E 8TH AVE STE 3A, ANCHORAGE, AK 99501-3662
(907) 569-1551
(907) 569-1564
Mailing address
235 E 8TH AVE STE 3A, ANCHORAGE, AK 99501-3662
(907) 569-1551
(907) 569-1564
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4540
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205382205382
BLUE CROSS BLUE SHIELD
AK
01
—
GRP4536
PROVIDENCE HEALTH PLANS
AK
05
—
MD2963
—
AK
Enumeration date
08/16/2006
Last updated
01/24/2011
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