Organization Active NPI

Virginia R Lind & Ronald L Lind Lind Virginia R Gen PTR

  • Optometrist
  • Fairbanks, AK
National Provider Identifier
1558453753
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AK133 Issued in AK
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

Updated by the provider on Apr 16, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
OD0133MedicaidAK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.