Personett Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PERSONETT FAMILY EYECARE, LLC

Practice address

1867 Airport Way
Suite 150-a
Fairbanks, AK 99701-4054

Phone

(907) 452-2131

Fax

(907) 452-2131

NPI assigned

Nov 17, 2008

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Personett, O.D.NPI 1881754646

Title

Optometrist

Phone

(907) 452-2131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad D Personett, OD

  • Optometrist
  • Fairbanks, AK
  • NPI 1881754646
  Medicare reassignment NPD Authorized official
• Colleen Personett, OD

  • Optometrist
  • Fairbanks, AK
  • NPI 1295894103
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1154576213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 RIDGEPOINTE DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095737",
            "telephone_number": "907-452-2131",
            "fax_number": "907-452-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 150-A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014054",
            "telephone_number": "907-452-2131",
            "fax_number": "907-452-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONETT FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "PERSONETT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "907-452-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Perez, LMT
• Daniel Gene Perkins
• Jill Perkins, BSN
• Lizette Elena Pernas
• Sandra Katheryn Perry, RN
• Chad D Personett, OD
• Colleen Personett, OD
• Karissa Persson, RN
• Tammi Persson
• Michelle Peschke

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.