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Contact Information

DANIEL J KOSTERMAN, OPTOMETRIST
11401 OLD GLENN HWY 106B
EAGLE RIVER, AK99577
 Phone: 907-696-8733
 Fax: 907-696-8733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DANIEL J KOSTERMAN · (Male)

NPI Number 1386719953
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 11/21/2006
Last updated 05/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 161
  • AK License # OPTT161
  • AK Medicaid OD1161
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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