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NPI Code Detail

MEDICARE: DR. PATRICK REBER O.D.

MEDICARE:  DR. PATRICK  REBER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist158AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033129770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK REBER O.D.
Provider Business Mailing Address
First Line : 1345 W 9TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3219
Country : US
Telephone Number : 907-272-2557
Fax Number : 907-274-4932
Provider Business Practice Location Address
First Line : 1345 W 9TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3219
Country : US
Telephone Number : 907-272-2557
Fax Number : 907-274-4932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 04/01/2008

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Directions to “ DR. PATRICK REBER O.D.” Practice Location

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