Active NPI
Virginia R Lind & Ronald L Lind Lind Virginia R Gen PTR
- Optometrist
- Fairbanks, AK
National Provider Identifier
1558453753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AK133
- Legal business name
- VIRGINIA R LIND & RONALD L LIND LIND VIRGINIA R GEN PTR
- Practice address
- 59 College Road
Suite 209
Fairbanks, AK 99701-1757 - Phone
- (907) 456-8028
- Fax
- (907) 456-8028
- NPI assigned
- Sep 28, 2006
- 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
- Dr. Virginia R. Lind, O.D.
- Title
- General Partner
- Phone
- (907) 456-8028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AK133 | AK | Primary |
Addresses
Primary practice location
59 College Road
Suite 209
Fairbanks, AK 99701-1757
Mailing address
59 College Road
Suite 209
Fairbanks, AK 99701-1757
Phone (907) 456-8028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OD0133 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
59 College Rd
Ste 209
Fairbanks, AK 99701
Phone (907) 456-8028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302912000000",
"number": "1558453753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 COLLEGE ROAD",
"address_2": "SUITE 209",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011757",
"telephone_number": "907-456-8028",
"fax_number": "907-456-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 COLLEGE ROAD",
"address_2": "SUITE 209",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011757",
"telephone_number": "907-456-8028",
"fax_number": "907-456-8028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA R LIND & RONALD L LIND LIND VIRGINIA R GEN PTR",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2011-04-16",
"status": "A",
"authorized_official_last_name": "LIND",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "907-456-8028",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AK",
"license": "AK133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OD0133",
"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 Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.