Ruth Nicolas, Od, Pc

Optometrist · Fairbanks, AK

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At a glance

570 Riverstone Way, Fairbanks, AK 99709-2939

NPPES record updated Mar 18, 2008. Public records can lag behind changes at a practice.

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Practice location

570 Riverstone Way Ste 3
Fairbanks, AK 99709-2939

Professional details: NPI, taxonomy & registry record

NPI1760653778

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Registry details

Primary taxonomy: Optometrist
Taxonomy code: 152W00000X
Enumeration date: Mar 18, 2008
Record updated: Mar 18, 2008

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Optometrist

152W00000X · Primary

License reported: A125 AK

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

570 Riverstone Way
Ste 3
Fairbanks, AK 99709-2939

Phone: (907) 479-4700
Fax: (907) 457-5596

Mailing address

570 RIVERSTONE WAY
STE 3
FAIRBANKS, AK 997092939

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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