National Provider Identifier Database

THE VILLIAGE STORE INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

THE VILLIAGE STORE INC
3455 REWAK DR
SUITE 102
FAIRBANKS, AK99709
Phone: 907-474-8695
Fax: 907-474-8727
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for THE VILLIAGE STORE INC

NPI Number 1659400596
Legal business name
LBN
THE VILLIAGE STORE INC
Authorized official JAMES GRAVES - (PRESIDENT OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/05/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 97

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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