Individual provider Active NPI

Elizabeth Jean Bow, O.D.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1265662019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
290 Issued in AK
Practice address
341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639
Phone
(907) 770-6652
Fax
(907) 770-3668
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 290 AK Primary

Addresses

Primary practice location

341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639

Mailing address

341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639
Phone (907) 770-6652

Other names 1

  • Dr. Elizabeth Lane Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000230 AK Practitioner - Optometry 2163576265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makar Eyecare LLCGroup PAC ID 6103056023, 11 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 101
Anchorage, AK 99503-6639
Phone (907) 770-6652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Makar Eyecare LLC Optometrist CurrentSince Jan 1, 2014 Accepting new patients

Locations

341 W Tudor Rd
Ste 101
Anchorage, AK 99503
Phone (907) 770-6652

4411 Business Park Blvd
Ste 10
Anchorage, AK 99503
Phone (907) 770-6652

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265662019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652",
            "fax_number": "907-770-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652",
            "fax_number": "907-770-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOW",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LANE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.