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COOK INLET EYECARE INC
Contact Lens >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1295864601
Organizational Registrant:Organization Name: COOK INLET EYECARE INC
Organization is not Subpart
Authorized Official: BEV J HARPER OWNER 907--27-61021
Organization is not Subpart
Authorized Official: BEV J HARPER OWNER 907--27-61021
Location and contact information for practice:
534 W 2ND AVE ANCHORAGE, AK 99501-2208 US
Tel: 907-276-1021 Fax: --
Tel: 907-276-1021 Fax: --
Contact information for business:
534 W 2ND AVE ANCHORAGE, AK 99501-2208 US
Tel: 907-276-1021 Fax: --
Tel: 907-276-1021 Fax: --
Registration Information:
NPI: 1295864601
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 156FC0800X | Eye and Vision Services Providers Technician/Technologist Contact Lens | AK | 266788 |
| N | 156FC0801X | Eye and Vision Services Providers Technician/Technologist | ||
| Y | 156FX1800X | Eye and Vision Services Providers Technician/Technologist | AK | 266788 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OP1124 | AK | 05 |
