Provider Demographics
NPI:1962477398
Name:KOMPKOFF, LAURA K (OD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:K
Last Name:KOMPKOFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12570 OLD SEWARD HWY.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-4433
Mailing Address - Country:US
Mailing Address - Phone:907-334-3937
Mailing Address - Fax:907-885-2522
Practice Address - Street 1:12570 OLD SEWARD HWY.
Practice Address - Street 2:104
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-4433
Practice Address - Country:US
Practice Address - Phone:907-334-3937
Practice Address - Fax:907-885-2522
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003594152W00000X
AK332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist