Classic Eyeware

Primary specialty

OpticianTaxonomy code 156FX1800X

License

172 Issued in AK

Legal business name

CLASSIC EYEWARE

Practice address

935 E Westpoint Dr
Ste 207
Wasilla, AK 99654

Phone

(907) 376-9173

Fax

(907) 376-8180

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth McDaneld

Title

Optician

Phone

(907) 376-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Jordan Louise Coon Goss, OD

  • Optometrist
  • Wasilla, AK
  • NPI 1942832183
  NPD (past)
• Lynn J Coon, O.D.

  • Optometrist
  • Wasilla, AK
  • NPI 1144295809
  NPD (past)
• Christine Ann Tasso, OD

  • Optometrist
  • Eagle River, AK
  • NPI 1043280647
  NPD (past)
• Evan Wolf, M.D.,PHD

  • Ophthalmology Physician
  • Wasilla, AK
  • NPI 1205801586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013085539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870450",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870450",
            "telephone_number": "907-376-9173",
            "fax_number": "907-376-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E WESTPOINT DR",
            "address_2": "STE 207",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-9173",
            "fax_number": "907-376-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC EYEWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MCDANELD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "907-376-9173"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD0090",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Clark, LMT
• Devan Clark, LMT
• Elizabeth Marie Clark, LMT
• Zackariah Clark
• Uriah Josiah Clarkson, RPH
• Karen Rebecca Clement, PA
• Stefani Katherine Clements, LMT, CFT
• Co Occuring Disorders Institute
• Samuel Joseph Cobbs
• Kevin Hewett Cochran, D.M.D.

• Optician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Optician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.