| Eyecare Excellence A Professional Corporation | |
|
3450 E. Rezanof Dr., Kodiak, AK 99615-0827 | |
| (907) 486-5504 | |
| (907) 486-6577 |
| Full Name | Eyecare Excellence A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3450 E. Rezanof Dr., Kodiak, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437158375 | NPI | - | NPPES |
| 1031738 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 00070 (Alaska) | Primary |
| Provider Name | Desiree Alexis Wheeler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609351022 PECOS PAC ID: 8527304609 Enrollment ID: I20190923001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Excellence A Professional Corporation 3450 E Rezanof Dr, Kodiak, AK 99615-6953 Ph: (907) 486-5504 | Eyecare Excellence A Professional Corporation 3450 E. Rezanof Dr., Kodiak, AK 99615-0827 Ph: (907) 486-5504 |
Kodiak Vision Clinic & Sally's Eyeland, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 214 W Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6117 | |
Dr. Jerimiah L Myers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 214 W Rezanof, Ste 1, Kodiak, AK 99615 Phone: 907-486-6117 Fax: 907-486-6140 | |
Eric Noll Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 214 W Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6117 | |
John Shank, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3450 E. Rezanof Dr., Kodiak, AK 99615 Phone: 907-486-5504 | |
Desiree Alexis Wheeler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-5504 |