The Villiage Store INC

NPI #1659400596 in Fairbanks, Alaska

Provider Information

NPI Number
1659400596
Entity Type
Organization
Organization Name
The Villiage Store INC
Primary Specialty
Optometrist
Enumeration Date
Mar 5, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3455 REWAK DR
Address 2
SUITE 102
State
Alaska
ZIP Code
99709
Phone
(907) 474-8695

Authorized Official

Name
JAMES CURTIS GRAVES, OD
Title
PRESIDENT OWNER
Phone
(907) 474-8695

Specialties & Taxonomy Codes

Specialty
Optometrist

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