Organization
ALASKA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYNARD C FALCONER O.D. (DIRECTOR)
(907) 248-7770
Entity
Organization
Contact information
Practice address
3903 TAFT DR, ANCHORAGE, AK 99517-3069
(907) 248-7770
(907) 248-7517
Mailing address
3903 TAFT DR, ANCHORAGE, AK 99517-3069
(907) 248-7770
(907) 248-7517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
47
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS8817
—
AK
05
—
OD0047
—
AK
Enumeration date
10/23/2006
Last updated
08/22/2020
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