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Organization

VILLAGE EYE WEAR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMY E COLLINGS OPTICIAN (MANAGER)
(907) 317-5201
Entity
Organization

Contact information

Practice address
205 E BENSON BLVD, ANCHORAGE, AK 99503-4019
(907) 317-5201
Mailing address
205 E BENSON BLVD, ANCHORAGE, AK 99503-4019
(907) 317-5201

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60
AK
156FX1800X
Optician
207
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OD0060
AK
05
OP0003
AK
Enumeration date
03/11/2011
Last updated
10/01/2015
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