Active NPI
Prism Eye Associates LLC
Doing business as Juneau Eye Care
- Optometrist
- Juneau, AK
National Provider Identifier
1386224608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PRISM EYE ASSOCIATES LLC
- Doing business as
- Juneau Eye Care
- Practice address
- 1200 Glacier Ave Ste 103
Juneau, AK 99801-1567 - Phone
- (907) 885-3999
- NPI assigned
- Apr 11, 2021
- Last updated
- Aug 30, 2021
- Organization subpart
- Yes
- Parent organization
- PRISM EYE ASSOCIATES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Pedigo, OD
- Title
- Managing Member
- Phone
- (907) 891-7191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1200 Glacier Ave Ste 103
Juneau, AK 99801-1567
Mailing address
1200 Glacier Ave Ste 103
Juneau, AK 99801-1567
Phone (907) 885-3999
Other names 1
- Juneau Eye Care
National Provider Directory
National Provider Directory- Tax ID family
- Prism Eye Associates LLC
- Part of
- Prism Eye Associates LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1200 Glacier Ave
Ste 103
Juneau, AK 99801
Phone (907) 600-1734
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1386224608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 GLACIER AVE STE 103",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011567",
"telephone_number": "907-885-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 GLACIER AVE STE 103",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011567",
"telephone_number": "907-885-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISM EYE ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRISM EYE ASSOCIATES LLC",
"enumeration_date": "2021-04-11",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "PEDIGO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "907-891-7191",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Juneau Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.