Glacier Optical of Juneau Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GLACIER OPTICAL OF JUNEAU INC

Practice address

3268 Hospital Dr Ste F
Juneau, AK 99801-7800

Phone

(907) 586-1818

Fax

(907) 586-2917

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Gordon Preecs, MD

Title

President

Phone

(907) 586-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508089517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 HOSPITAL DR STE F",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017800",
            "telephone_number": "907-586-1818",
            "fax_number": "907-586-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 HOSPITAL DR STE F",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017800",
            "telephone_number": "907-586-1818",
            "fax_number": "907-586-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER OPTICAL OF JUNEAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREECS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-586-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG-114",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci K Gilmour, LMT
• Jaimee Gilson
• Sarah Elizabeth Ginter, OTR/L
• Wannarat S Giron
• Eli Lydon Giudice, CT
• Glacier Pediatrics, LLC
• Glacier Salt Cave & Spa
• Glacier Salt Cave and Spa
• Glacier View TLC Pharmacy
• Rachel Christine Gladhart, M.S., C.N.M.

• All providers in Juneau, AK
• Eyewear Supplier in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.