Dj Kosterman Od Llc

LBN: Dj Kosterman Od Llc
Dj Kosterman Od Llc is an health care organization with primary practice located at 11401 Old Glenn Hwy Ste 106B , Eagle River AK 99577-7747. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dj Kosterman Od Llc can be contacted via phone (907) 696-8733, or through Kosterman, Dan J via phone (907) 696-3031.

Contact Information

Primary practice address
11401 Old Glenn Hwy Ste 106B Eagle River AK 99577-7747
Phone: (907) 696-8733
Fax: (907) 696-8735
Website:
Map and Directions
Authorized official contact:
Name: Kosterman, Dan J Doctor of Optometry (OD)
Phone: (907) 696-3031

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 161 Alaska

Profile Details

NPI number 1356523831
LBN Legal business name Dj Kosterman Od Llc
DBA Doing business as
Authorized official Kosterman, Dan J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Sep 23rd, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356523831 NPPES
Alaska MEDICAID OD11612

Popular Providers