RUTH NICOLAS, OD, PC
Optometry at Riverstone Way, Fairbanks, AK

License number
Alaska A125
Category
Optometry
Type
Optometrist
Owner
Name: RUTH NICOLAS OD, PC
Title: PRESIDENT
Phone: (907) 479-4700
Address
Address
570 Riverstone Way STE 3, Fairbanks, AK 99709
National Provider ID: 1760653778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RUTH NICOLAS, O.D., PC

910 Old Steese SUITE I, Fairbanks, AK 99701

Registration:
Aug 26, 1994
State ID:
54535D
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Ruth Nicholas (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Agent:
Ruth Nicolas,PO Box 10144, Fairbanks, AK 99710 (Mailing)
910 Old Steese SUITE I, Fairbanks, AK 99701 (Physical)
Next Report:
20160102

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