Individual
JEFFREY KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16331 HERITAGE PL STE 103, EAGLE RIVER, AK 99577-7753
(907) 694-4420
(907) 694-4421
Mailing address
16331 HERITAGE PL STE 103, EAGLE RIVER, AK 99577-7753
(907) 694-4420
(907) 694-4421
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
287319
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP0082
—
AK
Enumeration date
01/24/2007
Last updated
02/07/2008
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