Provider Demographics
NPI:1083297105
Name:S & P OPTOMETRY INCORPORATED
Entity Type:Organization
Organization Name:S & P OPTOMETRY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PREISS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:907-854-2773
Mailing Address - Street 1:44332 STERLING HWY STE 52
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8065
Mailing Address - Country:US
Mailing Address - Phone:907-260-9199
Mailing Address - Fax:
Practice Address - Street 1:44332 STERLING HWY STE 52
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8065
Practice Address - Country:US
Practice Address - Phone:907-260-9199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty