Alaska Physicians Eyecare Group, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALASKA PHYSICIANS EYECARE GROUP, P.C.

Practice address

8300 Homer Dr
Anchorage, AK 99518-3310

Phone

(907) 522-3500

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Manager

Phone

(561) 612-4531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1245700459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614140",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183310",
            "telephone_number": "907-522-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PHYSICIANS EYECARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "561-612-4531"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Pediatric Physical Therapy LLC
• Alaska Pediatric Specialties LLC
• Alaska Pediatric Therapy
• Alaska Perinatology Associates
• Alaska Physical Therapy Specialists, LLC
• Alaska Podiatry Associates, a Professional Corporation
• Alaska Podiatry Group, LLC
• Alaska Premier Assisted Living LLC
• Alaska Premier Care Coordination
• Alaska Premier Dental Group Midotwn, LLC

• All providers in Anchorage, AK
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.