IndividualActive
Colleen Personett, OD
NPI 1295894103 · Optometrist · Fairbanks, AK
Provider details
- NPI number
- 1295894103
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A192 (AK)
Practice location
1867 Airport Way
Ste 150a
Fairbanks, AK 99701-4061
Phone: (907) 452-2131
Mailing address
1214 Ridgepointe Dr
Fairbanks, AK 99709-5737
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2017-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.