Active NPI
Makar Eyecare LLC
- Optometrist
- Anchorage, AK
National Provider Identifier
1497184840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 431213
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1607601 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2060443 | Makar Eyecare, LLC | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
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- Optometrist
- Anchorage, AK
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- NPI 1619047248
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- Anchorage, AK
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- Optometrist
- Anchorage, AK
- NPI 1437468774
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.