Organization
THE VILLIAGE STORE INC
Active
Other names
Fairbanks Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CURTIS GRAVES OD (PRESIDENT OWNER)
(907) 474-8695
Entity
Organization
Contact information
Practice address
3455 REWAK DR, SUITE 102, FAIRBANKS, AK 99709
(907) 474-8695
(907) 474-8727
Mailing address
3455 REWAK DR, SUITE 102, FAIRBANKS, AK 99709
(907) 474-8695
(907) 474-8727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
97
AK
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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