McIntyre Optometry Services, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

905426 Issued in AK

Legal business name

MCINTYRE OPTOMETRY SERVICES, INC

Practice address

579 Kingosak Street
Barrow, AK 99723-0001

Phone

(907) 852-0273

Fax

(907) 852-6098

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Joseph E Beaty

Title

Billing Agent

Phone

(907) 223-0571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1134482714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 KINGOSAK STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230001",
            "telephone_number": "907-852-0273",
            "fax_number": "907-852-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYRE OPTOMETRY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-223-0571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "905426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kouri, PHARM.D.
• Yafei Li, RD
• Andres Lopez
• Rogelita Lord
• Kimberly McDowell, RN
• Donald James McIntyre, O.D.
• Barbara B Medlin, MD
• Kimlea Sara Medlin, DDS
• Amanda Mercer
• Bernadette Marie Modelo, RN

• All providers in Barrow, AK
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.