Provider Demographics
NPI:1437049913
Name:STRUBLE, RAMSEY JEAN (OD)
Entity type:Individual
Prefix:
First Name:RAMSEY
Middle Name:JEAN
Last Name:STRUBLE
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 1:4505 E GREENSTREET CIR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8425
Mailing Address - Country:US
Mailing Address - Phone:907-376-2020
Mailing Address - Fax:
Practice Address - Street 1:4505 E GREENSTREET CIR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8425
Practice Address - Country:US
Practice Address - Phone:907-376-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK239532152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty