Active NPI
Karen Shira, OP
- Optician
- Fairbanks, AK
National Provider Identifier
1528039336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DOP D 44
- Practice address
- 1919 Lathrop St
Suite 103
Fairbanks, AK 99701 - Phone
- (800) 478-4091
- Fax
- (907) 451-7184
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DOP D 44 | AK | Primary |
Addresses
Primary practice location
1919 Lathrop St
Suite 103
Fairbanks, AK 99701
Mailing address
PO Box 241769
Anchorage, AK 99524-1769
Phone (909) 770-2380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194434 | Other | AK | DEPT OF LABOR GROUP |
| A0330 | Other | AK | BLUE CROSS |
| OP0593 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOP D 44 | AK | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Fairbanks, Inc | Optician | Past | Accepting new patients |
Organizations & group practices 1
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": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528039336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241769",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995241769",
"telephone_number": "909-770-2380",
"fax_number": "909-770-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LATHROP ST",
"address_2": "SUITE 103",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99701",
"telephone_number": "800-478-4091",
"fax_number": "907-451-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRA",
"first_name": "KAREN",
"credential": "OP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "DOP D 44",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR GROUP",
"identifier": "0194434",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A0330",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OP0593",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.