Dr. Richard McKinley, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPTD131 Issued in AK

Legal business name

DR. RICHARD MCKINLEY, LLC

Practice address

537 Johansen Expy
Fairbanks, AK 99701-3165

Phone

(907) 451-9938

Fax

(907) 451-9940

NPI assigned

Feb 16, 2017

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard McKinley, O.D.

Title

Provider

Phone

(907) 459-8200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1316486822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74649",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997074649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 JOHANSEN EXPY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013165",
            "telephone_number": "907-451-9938",
            "fax_number": "907-451-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD MCKINLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "907-459-8200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OPTD131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD 2131",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.