Provider Demographics
NPI:1053529420
Name:MAKAR EYECARE
Entity type:Organization
Organization Name:MAKAR EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTEMETRIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:907-770-6652
Mailing Address - Street 1:4411 BUSINESS PARK BLVD
Mailing Address - Street 2:BLDG. M STE 10
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7117
Mailing Address - Country:US
Mailing Address - Phone:907-770-6652
Mailing Address - Fax:907-770-3668
Practice Address - Street 1:4411 BUSINESS PARK BLVD
Practice Address - Street 2:BLDG. M STE 10
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7117
Practice Address - Country:US
Practice Address - Phone:907-770-6652
Practice Address - Fax:907-770-3668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK194152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty