Organization
LODESTAR FAMILY EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA RENEE REYNOLDS O.D. (PRESIDENT)
(907) 745-2273
Entity
Organization
Contact information
Practice address
625 COBB ST, STE 101, PALMER, AK 99645
(907) 745-2273
Mailing address
625 COBB STREET, SUITE 101, PALMER, AK 99645
(907) 745-2273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
295
AK
152W00000X
Optometrist
298
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD0016
—
AK
05
—
OD0017
—
AK
Enumeration date
02/10/2014
Last updated
02/10/2014
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