Raul Angeles Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0000 Issued in AK

Practice address

5800 Westover Ave
Jber, AK 99506-1603

Phone

(907) 978-1937

NPI assigned

Jul 9, 2015

Last updated

Apr 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

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 2

Specialty

Optometry

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.77 of 100Reported as group

Quality

76.11

Promoting interoperability

100

Improvement activities

40

Cost

79.79

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rangeles@direct.scf.cc
• Direct secure messaging: raul.angeles@uprisedirect.com

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

• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment Care Compare group NPD
• Midnight Sun Optometry

  • Optometrist
  • Wasilla, AK
  • NPI 1609362060
  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339
  NPD
• Southcentral Foundation

  dba HPG- BNPCC Wellness Center (BNPCC Comp Med)

  • Chiropractor
  • Wasilla, AK
  • NPI 1750889234
  NPD
• Southcentral Foundation

  dba Tribal-Optometry

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1083660815
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1285017194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876606",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876606",
            "telephone_number": "907-978-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 WESTOVER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995061603",
            "telephone_number": "907-978-1937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Westover Ave",
            "address_purpose": "LOCATION",
            "city": "Elmendorf AFB",
            "state": "AK",
            "postal_code": "995061603",
            "country_code": "US",
            "telephone_number": "907-753-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kava Chayce Afu, MD
• Christine Ahlalook, LCSW
• David Alaniz, FNP-C, CNOR
• Anchorage Vamc
• Kevin C Anderson
• Gretchen D Ariz, O.D.
• Donna R. Bacon, LCSW
• David Baden
• Meghan Bailey, LCSW
• Sharon Felicia Bailey, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.