NPIMap

Organization Active NPI

Eye Guys LLC

  • Optometrist
  • Wasilla, AK
National Provider Identifier
1528503158
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
321 Issued in AK
Legal business name
EYE GUYS LLC
Practice address
285 E Parks Hwy
Wasilla, AK 99654-7039
Phone
(907) 376-3917
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Dean Brown, ODNPI 1821051400
Title
Managing Optometrist
Phone
(907) 376-3917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 321 AK Primary

Addresses

Primary practice location

285 E Parks Hwy
Wasilla, AK 99654-7039

Mailing address

285 E Parks Hwy
Wasilla, AK 99654-7039
Phone (907) 376-3917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327001918 AK Part B Supplier - Clinic/Group Practice 6305210709 Receives reassigned benefits from 10 practitioners
Practice locations: Wasilla, AK

National Provider Directory

National Provider Directory

Locations

285 E Parks Hwy
Wasilla, AK 99654
Phone (907) 376-3917

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1528503158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547039",
            "telephone_number": "907-376-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547039",
            "telephone_number": "907-376-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GUYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "907-376-3917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.