Tribal-Optometry

LBN: Southcentral Foundation
Tribal-Optometry is an health care organization with primary practice located at 4341 Tudor Centre Dr Ste 200 , Anchorage AK 99508-5904. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-8500, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4341 Tudor Centre Dr Ste 200 Anchorage AK 99508-5904
Phone: (907) 729-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 20467 Alaska

Profile Details

NPI number 1083660815
LBN Legal business name Southcentral Foundation
DBA Doing business as Tribal-Optometry
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2006
Last updated Aug 30th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083660815 NPPES
Alaska MEDICAID 1000806

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