IndividualActive
Dylan Cowan, OD
NPI 1558096297 · Optometrist · Fairbanks, AK
Provider details
- NPI number
- 1558096297
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 1009 (HI)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Approximate (ZIP-level) locationGet directions
Mailing address
1717 W Cowles St
Fairbanks, AK 99701-5926
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.