Individual provider Active NPI

Eliza Salvo, O.D.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1437468774
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010420 Issued in IL
Practice address
341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639
Phone
(907) 770-6652
Fax
(907) 770-3668
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010420 IL Primary

Addresses

Primary practice location

341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639

Mailing address

341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639
Phone (907) 770-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150327002331 AK Practitioner - Optometry 5597082610 Reassigns benefits to 1 organization
I20220915001276 IN Practitioner - Optometry 5597082610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

Practice addresses (Care Compare)

1221 S Creasy LN
Suite a
Lafayette, IN 47905-7430
Phone (765) 447-4951

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
361AKMDProfessional Counselor
046.010420ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Eye Care Inc Optometrist CurrentSince Oct 31, 2022 Accepting new patients
Makar Eyecare LLC Optometrist CurrentSince Jan 22, 2015 Accepting new patients
Duane a Gillam Optometrist Past Accepting new patients
Eyecare Experience, LLC Optometrist Past Accepting new patients

Locations

341 W Tudor Rd
Ste 101
Anchorage, AK 99503
Phone (907) 770-6652

638 S Earl Ave
Lafayette, IN 47904
Phone (317) 293-5424

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

3526 Osborne Ln
Ste F
Lafayette, IN 47909
Phone (765) 477-2000

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

Interoperability endpoints

  • Direct secure messaging: eliza.salvo@direct.revolutionehr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437468774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652",
            "fax_number": "907-770-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652",
            "fax_number": "907-770-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVO",
        "first_name": "ELIZA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.