Individual provider Active NPI

Augusta Ann Plassmann King, O.D.

  • Optometrist
  • Fairbanks, AK
National Provider Identifier
1093874182
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1387 Issued in CO
Practice address
1521 Stacia St
Unit B
Fairbanks, AK 99701-6135
Phone
(907) 456-4822
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1387 CO Primary

Addresses

Primary practice location

1521 Stacia St
Unit B
Fairbanks, AK 99701-6135

Mailing address

1521 Stacia St
Fairbanks, AK 99701-6135
Phone (907) 456-4822

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140905001050 AK Practitioner - Optometry 7113971060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3755 Airport Way
Fairbanks, AK 99709-4610
Phone (907) 474-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Plassmann King, O.D., LLC Optometrist CurrentSince May 4, 2014 Accepting new patients

Locations

3755 Airport Way
Fairbanks, AK 99709
Phone (907) 474-1433

1521 Stacia St
Fairbanks, AK 99701
Phone (907) 456-4822

1521 Stacia St
Unit B
Fairbanks, AK 99701
Phone (907) 456-4822

44 College Rd
#B
Fairbanks, AK 99701
Phone (877) 496-1122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1093874182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 STACIA ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016135",
            "telephone_number": "907-456-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 STACIA ST",
            "address_2": "UNIT B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016135",
            "telephone_number": "907-456-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASSMANN KING",
        "first_name": "AUGUSTA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.