Organization
VIBRANT VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA E SMITH (CREDENTIALING COORDINATOR)
(888) 737-9615
Entity
Organization
Contact information
Practice address
537 JOHANSEN EXPY, FAIRBANKS, AK 99701-3165
(907) 451-9938
(888) 724-3239
Mailing address
537 JOHANSEN EXPY, FAIRBANKS, AK 99701-3165
(907) 451-9938
(888) 724-3239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
341
AL
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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