Organization Active NPI

Makar Eyecare LLC

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1497184840
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
431213 Issued in AK
Legal business name
MAKAR EYECARE LLC
Practice address
341 W Tudor Rd
Suite 101
Anchorage, AK 99503-6639
Phone
(907) 770-6652
NPI assigned
Nov 6, 2013
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Shannon Garman
Title
Billing Agent
Phone
(907) 770-6652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 431213 AK Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1607601MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000347 AK Part B Supplier - Clinic/Group Practice 6103056023 Receives reassigned benefits from 12 practitioners
Practice locations: Anchorage, AK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2060443Makar Eyecare, LLC341 W Tudor Road, Anchorage, AK 99503Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

341 W Tudor Rd
Ste 101
Anchorage, AK 99503
Phone (907) 563-1777

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1497184840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAR EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "GARMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-6652"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "431213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1607601",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.