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Contact Information

GLACIER OPTICAL OF JUNEAU INC
3268 HOSPITAL DR STE F
JUNEAU, AK99801-7800
 Phone: 907-586-1818
 Fax: 907-586-2917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GLACIER OPTICAL OF JUNEAU INC

NPI Number 1508089517
LBN Legal business name GLACIER OPTICAL OF JUNEAU INC
Authorized official GORDON PREECS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK Medicaid MDG-114
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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