David J Pedigo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003590 Issued in WA

Practice address

1515 E Tudor Rd
Ste 5
Anchorage, AK 99507-1035

Phone

(425) 645-1548

Fax

(425) 328-1254

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Centers of Alaska, Inc

  • Optometrist
  • Ketchikan, AK
  • NPI 1942077243
  Medicare reassignment NPD Authorized official
• Prism Eye Associates LLC

  • Optometrist
  • Ketchikan, AK
  • NPI 1194305417
  NPD Authorized official
• Ahrens Valley Eyeworks

  • Clinic/Center
  • Monroe, WA
  • NPI 1417123472
  NPD (past)
• Colonial Optical LLC

  • Eyewear Supplier
  • Kirkland, WA
  • NPI 1659555860

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093790701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SW EVERETT MALL WAY",
            "address_2": "SUITE 11",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042780",
            "telephone_number": "425-645-1548",
            "fax_number": "425-328-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD",
            "address_2": "STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071035",
            "telephone_number": "425-645-1548",
            "fax_number": "425-328-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003590",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Gastroenterology of Alaska, LLC
• Pediatric Neurology Clinic of Alaska, P.C.
• Pediatric Neuropsychological Services of Alaska, PC
• Pediatric OT Services, LLC
• Pediatric Specialists of Alaska LLC
• Pedro J. Valdes, M.D.
• Kayla-Eroni Pedro
• Wanda F Peel
• Elizabeth Nell Peet
• Gina Janet Pelaez, O.D.

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.