NPIMap

Organization Active NPI

Golden North Optics, Inc

  • Optician
  • Fairbanks, AK
National Provider Identifier
1104154079
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
248 Issued in AK
Legal business name
GOLDEN NORTH OPTICS, INC
Practice address
1521 Stacia St
Fairbanks, AK 99701-6135
Phone
(907) 456-4822
Fax
(907) 456-4830
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Christi Leigh Brand, LDO
Title
Licensed Dispensing Optician
Phone
(907) 456-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 248 AK Primary

Addresses

Primary practice location

1521 Stacia St
Fairbanks, AK 99701-6135

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1104154079",
    "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",
            "fax_number": "907-456-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 STACIA ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016135",
            "telephone_number": "907-456-4822",
            "fax_number": "907-456-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN NORTH OPTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "LICENSED DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "907-456-4822",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "248",
            "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 Dec 3, 2009; 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.