NPIMap

Organization Active NPI

Northern Lights Optical

  • Optician
  • Juneau, AK
National Provider Identifier
1316071954
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
305833 Issued in AK
Legal business name
NORTHERN LIGHTS OPTICAL
Practice address
8745 Glacier Hwy
SP. 426
Juneau, AK 99801-8029
Phone
(907) 796-3937
Fax
(907) 796-3940
NPI assigned
Mar 15, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mr. Richard E White, OPTICIANNPI 1285891309
Title
Manager
Phone
(907) 796-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 305833 AK Primary

Addresses

Primary practice location

8745 Glacier Hwy
SP. 426
Juneau, AK 99801-8029

Mailing address

8745 Glacier Hwy
SP. 426
Juneau, AK 99801-8029
Phone (907) 796-3937

Other identifiers 1

IdentifierTypeStateIssuer
OP7385MedicaidAK

Other names 1

  • Specs in the City Other name

National Provider Directory

National Provider Directory

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1316071954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 GLACIER HWY",
            "address_2": "SP. 426",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018029",
            "telephone_number": "907-796-3937",
            "fax_number": "907-796-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 GLACIER HWY",
            "address_2": "SP. 426",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018029",
            "telephone_number": "907-796-3937",
            "fax_number": "907-796-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-796-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "305833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP7385",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specs in the City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.