Eric Noll OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ERIC NOLL OD PC

Doing business as

Alaska Vision Center
Chugach Eye Clinic
Kodiak Vision Clinic

Practice address

214 W Rezanof Dr
Kodiak, AK 99615-6044

Phone

(907) 486-6117

NPI assigned

Jan 29, 2021

Last updated

Sep 15, 2023By 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

Eric J Noll, ODNPI 1174864904

Title

Owner

Phone

(717) 307-5761

Specialties & licenses 1

Addresses

Other names 3

• Alaska Vision Center Doing business as
• Chugach Eye Clinic Doing business as
• Kodiak Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 9

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.

• Eric Noll, OD

  • Optometrist
  • Eielson AFB, AK
  • NPI 1174864904
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Woolcott Bixby-Dubois, O.D.

  • Optometrist
  • Juneau, AK
  • NPI 1447690037
  Medicare reassignment Care Compare group NPD
• Jill Geering Matheson, O.D.

  • Optometrist
  • Juneau, AK
  • NPI 1700801420
  Medicare reassignment Care Compare group NPD
• Kaitlyn Andrea Moore, OD

  • Optometrist
  • Eagle River, AK
  • NPI 1316620552
  Medicare reassignment Care Compare group NPD
• Kelsey Long Sykes, OD

  • Optometrist
  • Clinton, MS
  • NPI 1184171423

  AK

  Medicare reassignment Care Compare group NPD
• Charles A Lekites, OD

  • Optometrist
  • Anchorage, AK
  • NPI 1679670657
  Medicare reassignment Care Compare group
• Rebecca Kae Musick, OD

  • Optometrist
  • Eagle River, AK
  • NPI 1962470864
  Medicare reassignment NPD
• Elizabeth Hunt, OD

  • Optometrist
  • Juneau, AK
  • NPI 1942589783
  NPD (past)
• Jerimiah L Myers, OD

  • Optometrist
  • Kodiak, AK
  • NPI 1316015373
  NPD (past)

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1487245676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156044",
            "telephone_number": "717-307-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156044",
            "telephone_number": "907-486-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Glacier Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998011852",
            "country_code": "US",
            "telephone_number": "907-586-9864",
            "fax_number": "833-296-5244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10928 Eagle River Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995778078",
            "country_code": "US",
            "telephone_number": "907-694-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC NOLL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-307-5761",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chugach Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kodiak Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Ellingson
• Stasia Ellis
• Joyce Lynn Elvehjem
• Regan Enlow-Moir, RDH
• Equinox Physical Therapy & Wellness LLC
• Kimberly Ellen Erpelding, RN
• Erin Lee Erwin, RDH
• Eyecare Excellence a Professional Corporation
• Vincent Corpus Fabunan, HEALTH SERVICES TECH
• Heather C Farmer, MS,PT

• 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 Sep 15, 2023; 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.

Verify at the official NPI Registry.