Interior Eye Center, Llc
LBN: Interior Eye Center, Llc
Interior Eye Center, Llc is an health care organization with primary practice located at 1405 Kellum St Ste 300 , Fairbanks AK 99701-4189. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Interior Eye Center, Llc can be contacted via phone (907) 479-2020, or through Fuller, Stanley via phone (907) 479-2020.
Contact Information
Primary practice address
1405 Kellum St Ste 300
Fairbanks AK 99701-4189
Phone: (907) 479-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1568107670 |
|---|---|
| LBN Legal business name | Interior Eye Center, Llc |
| DBA Doing business as | |
| Authorized official | Fuller, Stanley Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2022 |
| Last updated | Jul 22nd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568107670 | NPPES |
| Alaska | Other | 2161194 | STATE OF ALASKA BUSINESS LICENSE |
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