Individual provider Active NPI

Katia Yulissa Guzman, OD

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1578308409
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11233TG Issued in TX
Practice address
341 W Tudor Rd
Anchorage, AK 99503-6639
Phone
(907) 770-6652
NPI assigned
Jul 1, 2024
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 232700 AK
Optometrist 152W00000X 11233TG TX Primary

Addresses

Primary practice location

341 W Tudor Rd
Anchorage, AK 99503-6639

Mailing address

15210 Pollock Dr
Anchorage, AK 99516-4908
Phone (832) 752-2703

Other practice location 1

306 E Main St
Brenham, TX 77833-3706
Phone (979) 836-3597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123001445 AK Practitioner - Optometry 6800325697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makar Eyecare LLCGroup PAC ID 6103056023, 11 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 101
Anchorage, AK 99503-6639
Phone (907) 770-6652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232700AKMDOptometrist
11233TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Makar Eyecare LLC Optometrist CurrentSince Jan 8, 2025 Accepting new patients
Brenham Eye Associates PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Makar Eyecare Optometrist Past Accepting new patients

Locations

341 W Tudor Rd
Ste 101
Anchorage, AK 99503
Phone (907) 290-5733

306 E Main St
Brenham, TX 77833
Phone (979) 836-3597

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1578308409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 POLLOCK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995164908",
            "telephone_number": "832-752-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 E Main St",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778333706",
            "country_code": "US",
            "telephone_number": "979-836-3597",
            "fax_number": "979-277-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "KATIA",
        "middle_name": "YULISSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "232700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11233TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.