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Organization

EYEDENTITY AK, LLC DBA.. COOK INLET EYEWEAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORINNE SULLIVAN (LICENSED OPTICIAN/ OWNER)
(907) 276-1021
Entity
Organization

Contact information

Practice address
529 W 2ND AVE, ANCHORAGE, AK 99501-2207
(907) 276-1021
Mailing address
529 W 2ND AVE, ANCHORAGE, AK 99501-2207
(907) 276-1021

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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