Gretchen D Ariz, O.D.
Individual provider Active NPI Optometrist · Jber, AK
NPI 1295874907 · NPPES record last updated Jun 20, 2014
Key facts
- NPI
- 1295874907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 344 (AK)
- Practice address
- 5955 Zeamer Ave
673D MDG
Jber, AK 99506-3702 - Phone
- (907) 580-1150
- Fax
- (907) 580-1152
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140815002201 | AK | Order and Referring Only - Optometry |
2163649005 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | AK | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 344 | AK | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
673D MDG
Jber, AK 99506-3702
Mailing address
5955 Zeamer Ave
673D MDG
Jber, AK 99506-3702
Phone (907) 580-1150
Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.