Active NPI
Stephen M Stralka, OD
- Optometrist
- Anchorage, AK
National Provider Identifier
1346438629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AA122
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5707170001 | Other | AK | DMEPOS SUPPLIER NUMBER |
| OD11221 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AA122 | AK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of SC LLC | Optometrist | Current | 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.
-
- Optometrist
- Anchorage, AK
- NPI 1578626859
-
- Optometrist
- Chapin, SC
- NPI 1679046569
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.