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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE VILLIAGE STORE INC

Active Organization

THE VILLIAGE STORE INC is a Optometrist organization located in FAIRBANKS, Alaska. NPI 1659400596 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FAIRBANKS, AK

Registration Details

NPI Number
1659400596
Provider Type
Organization
NPI Issued
Mar 5, 2007 (19.468421498714 yrs)
Last Updated
Aug 22, 2020
License
97 (AK)

Practice Information

Address
3455 REWAK DR
SUITE 102
FAIRBANKS, AK, 99709
Browse AK providers · Browse ZIP 99709
Phone
9074748695
Fax
9074748727
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.