Organization Active NPI

Eberle Eyecare P.C.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1285952549
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
260 Issued in AK
Legal business name
EBERLE EYECARE P.C.
Practice address
10998 O'Malley Centre Drive
Suite B
Anchorage, AK 99515
Phone
(907) 382-9723
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Andrea Marie Eberle, O.D.NPI 1376742452
Title
Optometrist./ Owner
Phone
(907) 382-9723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 260 AK Primary

Addresses

Primary practice location

10998 O'Malley Centre Drive
Suite B
Anchorage, AK 99515

Mailing address

5861 Azalea Dr
Anchorage, AK 99516-4330
Phone (907) 382-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000191 AK Part B Supplier - Clinic/Group Practice 3577740414 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

10998 Omalley Centre Dr
Ste B
Anchorage, AK 99515
Phone (907) 382-9723

10998 Omalley Centre Dr
Ste D
Anchorage, AK 99515
Phone (907) 344-3700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1285952549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 AZALEA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995164330",
            "telephone_number": "907-382-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10998 O'MALLEY CENTRE DRIVE",
            "address_2": "SUITE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-382-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLE EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST./ OWNER",
        "authorized_official_telephone_number": "907-382-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.