Provider Demographics
NPI:1609857499
Name:REINKE, JULIE A (OD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:REINKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 W NORTHERN LIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-3342
Mailing Address - Country:US
Mailing Address - Phone:907-272-3937
Mailing Address - Fax:907-272-6682
Practice Address - Street 1:1844 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:TURNAGAIN EYE CARE CLINIC
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-3342
Practice Address - Country:US
Practice Address - Phone:907-272-3937
Practice Address - Fax:907-272-6682
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA155152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKOD1155Medicaid
K150289Medicare ID - Type Unspecified