Northwest Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHWEST OPTOMETRY LLC

Doing business as

Juneau Eye Clinic

Practice address

5225 Commercial Blvd
Juneau, AK 99801-7210

Phone

(907) 318-1418

NPI assigned

Nov 7, 2006

Last updated

Dec 18, 2024By 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

Dr. Michael Joseph Vernon, ODNPI 1326216896

Title

Member

Phone

(801) 800-8108

Specialties & licenses 1

Addresses

Other names 2

• Juneau Eye Clinic Doing business as
• Redmond Eye Clinic, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 4

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.

• Michael Joseph Vernon, OD

  • Optometrist
  • Juneau, AK
  • NPI 1326216896
  Medicare reassignment Care Compare group Authorized official
• Terry David Bell, OD

  • Optometrist
  • Fairbanks, AK
  • NPI 1841807062
  Medicare reassignment Care Compare group NPD
• Jeffrey Binstock, O.D.

  • Optometrist
  • Redmond, WA
  • NPI 1801277371
  NPD
• Kimberly Skyles, O.D.

  • Optometrist
  • Redmond, WA
  • NPI 1477906485
  NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1346319878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33131",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998033131",
            "telephone_number": "801-800-8108",
            "fax_number": "907-318-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 COMMERCIAL BLVD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017210",
            "telephone_number": "907-318-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-800-8108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juneau Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redmond Eye Clinic, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sven Karl Noreen
• Donna Marie Northcote, PHARM D
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• Northline Performance LLC
• Alicia Norton
• Jacob Andrew Norton
• Novel Path Counseling, LLC (Pagey A. Taylor)
• China Marie Nunley
• Lorraine J Nycklemoe

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.