NPIMap

Individual provider Active NPI

Hanna Rae Fylpaa, O.D.

  • Optometrist
  • Juneau, AK
National Provider Identifier
1427462258
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
105281 Issued in AK
Practice address
3100 Channel Dr
Suite 300
Juneau, AK 99801-7837
Phone
(907) 463-4086
Fax
(907) 463-6618
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3395 MN
Optometrist 152W00000X 105281 AK Primary

Addresses

Primary practice location

3100 Channel Dr
Suite 300
Juneau, AK 99801-7837

Mailing address

3200 Channel Drive
Suite 300
Juneau, AK 99801
Phone (907) 463-4086

Other names 1

  • Dr. Hanna Rae Froehlich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001875 TX Practitioner - Optometry 2163641457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3245 Hospital Dr
Juneau, AK 99801-7809
Phone (907) 463-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3395MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Jan 1, 2016 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jan 1, 2016 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 5, 2014 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 5, 2014 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3245 Hospital Dr
Juneau, AK 99801
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: hannaf@direct-searhc.org

Organizations & group practices 7

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

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1427462258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CHANNEL DRIVE",
            "address_2": "SUITE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-4086",
            "fax_number": "907-463-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR",
            "address_2": "SUITE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4086",
            "fax_number": "907-463-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYLPAA",
        "first_name": "HANNA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3395",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "105281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "FROEHLICH",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.