Individual
DONALD JAMES MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
579 KINGOSAK STREET, BARROW, AK 99723
(907) 852-0273
(907) 852-6098
Mailing address
PO BOX 90107, ANCHORAGE, AK 99509-0107
(907) 223-0571
(907) 852-6098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
143
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K162317
MEDICARE PTAN
—
05
—
OD0143
—
AK
Enumeration date
05/18/2006
Last updated
07/16/2010
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