Jerimiah L Myers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AA0102 Issued in AK

Practice address

214 W Rezanof
Ste 1
Kodiak, AK 99615

Phone

(907) 486-6117

Fax

(907) 486-6140

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eric Noll OD PC

  • Optometrist
  • Kodiak, AK
  • NPI 1487245676
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1316015373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1948",
            "address_2": "214 W REZANOF STE 1",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-6117",
            "fax_number": "907-486-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W REZANOF",
            "address_2": "STE 1",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-6117",
            "fax_number": "907-486-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JERIMIAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA0102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Moe
• Marlo Moore-Smith, BS
• Gennifer Lynn Moreau
• Stormy Monday Morgan, HEALTH SERVICES TECH
• Ronald Joseph Mulgrew
• Brian M Narog, PHARM.D.
• Nathan M Faber DMD PC
• Nathan M. Faber DMD PC
• Irene Rae Nelson
• Sarah Jean Nelson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.