Alaska Center for the Blind and Visually Impaired

Organization Active NPI Durable Medical Equipment & Medical Supplies · Anchorage, AK

NPI 1407979628 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1407979628
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ALASKA CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Practice address
3903 Taft Dr
Anchorage, AK 99517-3069
Phone
(907) 248-7770
Fax
(907) 248-7517
NPI assigned
Apr 10, 2007
Organization subpart
No

Authorized official

Name
Ms. Arlee R Cada
Title
Finance Manager
Phone
(907) 248-7770

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3903 Taft Dr
Anchorage, AK 99517
Phone (907) 248-7770

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AK Yes

Addresses

Primary practice location

3903 Taft Dr
Anchorage, AK 99517-3069

Mailing address

3903 Taft Dr
Anchorage, AK 99517-3069
Phone (907) 248-7770

Other identifiers

IdentifierTypeStateIssuer
OD0047MedicaidAK
MS8817MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407979628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 TAFT DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173069",
            "telephone_number": "907-248-7770",
            "fax_number": "907-248-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 TAFT DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173069",
            "telephone_number": "907-248-7770",
            "fax_number": "907-248-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA CENTER FOR THE BLIND AND VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADA",
        "authorized_official_first_name": "ARLEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "907-248-7770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD0047",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS8817",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Durable Medical Equipment & Medical Supplies in Alaska

Sources for this page

Verify at the official NPI Registry.