Individual
DR. JEFFREY ALLEN GONNASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2211 E NORTHERN LIGHTS BLVD, STE 202, ANCHORAGE, AK 99508-4103
(907) 276-2080
(907) 276-2081
Mailing address
2211 E NORTHERN LIGHTS BLVD, STE 202, ANCHORAGE, AK 99508-4103
(907) 276-2080
(907) 276-2081
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT T 75
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP0075
—
AK
Enumeration date
09/08/2005
Last updated
08/27/2010
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