Active NPI
Southside Eyecare, LLC
- Optometrist
- Anchorage, AK
National Provider Identifier
1245403377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SOUTHSIDE EYECARE, LLC
- Practice address
- 9350 Independence Dr
Anchorage, AK 99507-4613 - Phone
- (907) 561-1167
- Fax
- (907) 561-7051
- NPI assigned
- Apr 9, 2008
- Last updated
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie Benavides
- Title
- Office Administrator
- Phone
- (907) 561-1167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
9350 Independence Dr
Anchorage, AK 99507-4613
Mailing address
9350 Independence Dr
Anchorage, AK 99507-4613
Phone (907) 561-1167
National Provider Directory
National Provider DirectoryLocations
9350 Independence Dr
Anchorage, AK 99507
Phone (907) 561-1167
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1811005606
-
- Optometrist
- Anchorage, AK
- NPI 1619047248
-
- Optometrist
- Anchorage, AK
- NPI 1760552384
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1700879269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1245403377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 INDEPENDENCE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074613",
"telephone_number": "907-561-1167",
"fax_number": "907-561-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 INDEPENDENCE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074613",
"telephone_number": "907-561-1167",
"fax_number": "907-561-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHSIDE EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "BENAVIDES",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "907-561-1167"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southern Living Assisted Living Home LTD
- Southpointe Surgical Assist, L.L.C.
- Southport Alh
- Southside Smiles, L.L.C.
- Laura Susan Southwell
- Molly B Southworth, MD
- Carol E Souza
- Peter Sovula
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.