Organization
RENNARD EYECARE, LLC
Active
Parent organization
RENNARD EYECARE, LLC
Other names
Rennard Eyecare, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENNARD EYECARE, LLC
Authorized official
DR. CRAIG DONALD RENNARD OD (OWNER)
(907) 317-6724
Entity
Organization
Contact information
Practice address
600 E NORTHERN LIGHTS BLVD STE 136B, ANCHORAGE, AK 99503-4162
(907) 258-6333
(907) 258-6968
Mailing address
600 E NORTHERN LIGHTS BLVD STE 136B, ANCHORAGE, AK 99503-4162
(907) 258-6333
(907) 258-6968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023192
—
AK
Enumeration date
12/04/2019
Last updated
12/04/2019
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