Organization
HUBCLUB LLC
Active
Other names
Stephen Page O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES PAGE O.D. (MANAGING OPTOMETRIST)
(925) 577-2020
Entity
Organization
Contact information
Practice address
3755 AIRPORT WAY, FAIRBANKS, AK 99709-4610
(907) 474-4900
Mailing address
3755 AIRPORT WAY, FAIRBANKS, AK 99709-4610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
261QH0100X
Health Service Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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