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Contact Information

KETCHIKAN EYE CARE CENTER, L.L.C.
351 CARLANNA LAKE RD
KETCHIKAN, AK99901
 Phone: 907-225-2020
 Fax: 907-247-2015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for KETCHIKAN EYE CARE CENTER LLC · (Female)

NPI # 1255483970
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2007
Last updated 04/08/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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