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Contact Information

PENINSULA EYE CLINIC, APC
161 N BINKLEY ST
SUITE 201
SOLDOTNA, AK99669
 Phone: 907-262-4462
 Fax: 907-262-3914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PENINSULA EYE CLINIC, APC

NPI # 1730305509
LBN Legal business name PENINSULA EYE CLINIC, APC
Authorized official PETER CANNAVA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK Medicaid MD1040
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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