| Dj Kosterman Od Llc | |
|
11401 Old Glenn Hwy Ste 106b, Eagle River, AK 99577-7747 | |
| (907) 696-8733 | |
| (907) 696-8735 |
| Full Name | Dj Kosterman Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11401 Old Glenn Hwy Ste 106b, Eagle River, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356523831 | NPI | - | NPPES |
| OD11612 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 161 (Alaska) | Primary |
| Provider Name | Daniel J Kosterman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386719953 PECOS PAC ID: 8527007996 Enrollment ID: I20050426001071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dj Kosterman Od Llc 11401 Old Glenn Hwy Ste 106b, Eagle River, AK 99577-7747 Ph: (907) 696-8733 | Dj Kosterman Od Llc 11401 Old Glenn Hwy Ste 106b, Eagle River, AK 99577-7747 Ph: (907) 696-8733 |
Chugach Eye Clinic And Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10928 Eagle River Rd Ste 102, Eagle River, AK 99577 Phone: 907-694-2020 Fax: 907-694-5989 | |
Christine Ann Tasso, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7015 Kulchay Cir, Eagle River, AK 99577 Phone: 907-575-2336 | |
Kaitlyn Andrea Moore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10928 Eagle River Rd, Eagle River, AK 99577 Phone: 907-694-2020 | |
Dr. Daniel J Kosterman, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11401 Old Glenn Hwy 106b, Eagle River, AK 99577 Phone: 907-696-8733 Fax: 907-696-8733 | |
Dr. Levi Marc Porter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16331 Heritage Pl, Ste 104, Eagle River, AK 99577 Phone: 907-753-7515 Fax: 907-753-7585 | |
Aspen Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10928 Eagle River Rd Ste 102, Eagle River, AK 99577 Phone: 907-694-2020 |