Eyecare Excellence a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

00070 Issued in AK

Legal business name

EYECARE EXCELLENCE A PROFESSIONAL CORPORATION

Practice address

3450 E. Rezanof Dr.
Kodiak, AK 99615-0827

Phone

(907) 486-5504

Fax

(907) 486-6577

NPI assigned

Jul 20, 2005

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Wheeler, ODNPI 1609351022

Title

Owner

Phone

(907) 486-5504

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desiree Alexis Wheeler, OD

  • Optometrist
  • Kodiak, AK
  • NPI 1609351022
  Medicare reassignment NPD Authorized official
• Andrea Marie Eberle, OD

  • Optometrist
  • Anchorage, AK
  • NPI 1376742452
  NPD

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1437158375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156953",
            "telephone_number": "907-486-5504",
            "fax_number": "907-486-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E. REZANOF DR.",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996150827",
            "telephone_number": "907-486-5504",
            "fax_number": "907-486-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE EXCELLENCE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-486-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "00070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031738",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regan Enlow-Moir, RDH
• Equinox Physical Therapy & Wellness LLC
• Eric Noll OD PC (Alaska Vision Center)
• Kimberly Ellen Erpelding, RN
• Erin Lee Erwin, RDH
• Vincent Corpus Fabunan, HEALTH SERVICES TECH
• Heather C Farmer, MS,PT
• Bryce Farrar, RPH
• Dayna Ferguson, MD
• April Lynn Fieste

• Optometrist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.