Active NPI
Image Optical, Inc
- Optician
- Fairbanks, AK
National Provider Identifier
1023226362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 148
- Legal business name
- IMAGE OPTICAL, INC
- Practice address
- 1867 Airport Way
Suite 100
Fairbanks, AK 99701-4007 - Phone
- (907) 452-2024
- Fax
- (907) 452-4829
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Hedges Gajdos, OPTICIAN
- Title
- President
- Phone
- (907) 452-2024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 148 | AK | Primary |
Addresses
Primary practice location
1867 Airport Way
Suite 100
Fairbanks, AK 99701-4007
Mailing address
1867 Airport Way
Suite 100
Fairbanks, AK 99701-4007
Phone (907) 452-2024
National Provider Directory
National Provider DirectoryLocations
1867 Airport Way
Ste 100
Fairbanks, AK 99701
Phone (907) 452-2024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023226362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY",
"address_2": "SUITE 100",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014007",
"telephone_number": "907-452-2024",
"fax_number": "907-452-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY",
"address_2": "SUITE 100",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014007",
"telephone_number": "907-452-2024",
"fax_number": "907-452-4829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGE OPTICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GAJDOS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "HEDGES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-452-2024",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.