Healthcare Provider Details

I. General information

NPI: 1073466413
Provider Name (Legal Business Name): ANNAMARIA SITENGA BERNARDS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNAMARIA LAMENDOLA SITENGA

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4381 E HILL RD
HOMER AK
99603-8203
US

IV. Provider business mailing address

4381 E HILL RD
HOMER AK
99603-8203
US

V. Phone/Fax

Practice location:
  • Phone: 907-235-2358
  • Fax:
Mailing address:
  • Phone: 907-235-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number251812
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: