Organization
PRISM EYE ASSOCIATES LLC
Active
Other names
Prism Optical & Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PEDIGO OD (PRESIDENT)
(907) 885-3999
Entity
Organization
Contact information
Practice address
1515 E TUDOR RD STE 5, ANCHORAGE, AK 99507-1036
(907) 885-3999
Mailing address
1515 E TUDOR RD STE 5, ANCHORAGE, AK 99507-1036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
02/17/2021
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