Organization
MIDNIGHT SUN OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH ANGELES (MANAGER)
(907) 978-1937
Entity
Organization
Contact information
Practice address
281 N MAIN ST, WASILLA, AK 99654-7046
(907) 978-1937
Mailing address
PO BOX 876606, WASILLA, AK 99687-6606
(907) 978-1937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100921
AK
Other
Enumeration date
07/09/2018
Last updated
02/11/2020
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