Individual provider Active NPI

Stephen M Stralka, OD

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1346438629
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AA122 Issued in AK
Practice address
401 E Northern Lights Blvd
Suite 102
Anchorage, AK 99503-2814
Phone
(907) 276-3937
Fax
(907) 278-3937
NPI assigned
Oct 11, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AA122 AK Primary

Addresses

Primary practice location

401 E Northern Lights Blvd
Suite 102
Anchorage, AK 99503-2814

Mailing address

401 E Northern Lights Blvd
Suite 102
Anchorage, AK 99503-2814
Phone (907) 276-3937

Other identifiers 2

IdentifierTypeStateIssuer
5707170001OtherAKDMEPOS SUPPLIER NUMBER
OD11221MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA122AKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Aug 30, 2025 Accepting new patients

Locations

401 E Northern Lights Blvd
Ste 102
Anchorage, AK 99503
Phone (907) 276-3937

401 E Northern Lights Blvd
Anchorage, AK 99503
Phone (907) 276-3937

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1346438629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032814",
            "telephone_number": "907-276-3937",
            "fax_number": "907-278-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032814",
            "telephone_number": "907-276-3937",
            "fax_number": "907-278-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRALKA",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS SUPPLIER NUMBER",
            "identifier": "5707170001",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD11221",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.