O'Connell, Robert D

O'Connell, Robert D is an individual health care provider with primary practice located at 110 S Willow St Unit #108, Kenai AK 99611-7798. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. O'Connell, Robert D can be contacted via phone (907) 283-7575.

Contact Information

Primary practice address
110 S Willow St Unit #108 Kenai AK 99611-7798
Phone: (907) 283-7575
Fax: (907) 283-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 081 Alaska

Profile Details

NPI number 1154318889
LBN Legal business name O'Connell, Robert D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154318889 NPPES
Alaska Other 0005437435 AETNA
Alaska MEDICAID OP0081 AETNA
Alaska Other 410026661 AETNA

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