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Contact Information

WOLF EYE CENTER, INC.
4505 E GREENSTREET CIRCLE
WASILLA, AK99654
 Phone: 907-376-2020
 Fax: 907-357-3937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optician

156FX1800X 96[5] Optician
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WOLF EYE CENTER, INC.

NPI Number 1063740363
LBN Legal business name WOLF EYE CENTER, INC.
Authorized official ROBIN WALKER - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2009
Last updated 03/14/2012 - About 14 years ago
Identifiers
AK License # 4915
AK Other K163165 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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