Active NPI
Laser Vision USA, Inc.
- Ophthalmology Physician
- Anchorage, AK
National Provider Identifier
1407969249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4540
- Legal business name
- LASER VISION USA, INC.
- Practice address
- 235 E 8TH Ave Ste 3a
Anchorage, AK 99501-3662 - Phone
- (907) 569-1551
- Fax
- (907) 569-1564
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric W Coulter, M.D.
- Title
- President
- Phone
- (907) 569-1551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4540 | AK | Primary |
Addresses
Primary practice location
235 E 8TH Ave Ste 3a
Anchorage, AK 99501-3662
Mailing address
235 E 8TH Ave Ste 3a
Anchorage, AK 99501-3662
Phone (907) 569-1551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205382205382 | Other | AK | BLUE CROSS BLUE SHIELD |
| GRP4536 | Other | AK | PROVIDENCE HEALTH PLANS |
| MD2963 | Medicaid | AK |
Other names 1
- Alaska Lasik Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 E 8th Ave
Ste 3A
Anchorage, AK 99501
Phone (907) 569-1551
3601 C St
Ste 1134
Anchorage, AK 99503
Phone (907) 569-1551
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1871606681
-
- Optometrist
- Anchorage, AK
- NPI 1316047095
-
- Cornea and External Diseases Specialist Physician
- Anchorage, AK
- NPI 1962846170
Ophthalmology
-
- Optometrist
- Anchorage, AK
- NPI 1144282476
-
- Ophthalmology Physician
- Anchorage, AK
- NPI 1710502273
-
- Ophthalmology Physician
- Jber, AK
- NPI 1124487863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295827200000",
"number": "1407969249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E 8TH AVE STE 3A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013662",
"telephone_number": "907-569-1551",
"fax_number": "907-569-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E 8TH AVE STE 3A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013662",
"telephone_number": "907-569-1551",
"fax_number": "907-569-1564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER VISION USA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2011-01-24",
"status": "A",
"authorized_official_last_name": "COULTER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-569-1551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AK",
"license": "4540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "205382205382",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLANS",
"identifier": "GRP4536",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2963",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alaska Lasik Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 24, 2011; 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.