Organization Active NPI

Optical Matchmakers/Home Optics LLC

  • Optician
  • Eagle River, AK
National Provider Identifier
1588021232
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
155 Issued in AK
Legal business name
OPTICAL MATCHMAKERS/HOME OPTICS LLC
Practice address
11723 Old Glenn Hwy Ste 201
Eagle River, AK 99577-7750
Phone
(907) 688-4979
Fax
(866) 929-6470
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Mrs. Joy E Leeham, OPTICIAN
Title
Manager
Phone
(907) 688-4979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 155 AK Primary

Addresses

Primary practice location

11723 Old Glenn Hwy Ste 201
Eagle River, AK 99577-7750

Mailing address

11723 Old Glenn Hwy Ste 201
Eagle River, AK 99577-7750
Phone (907) 688-4979

National Provider Directory

National Provider Directory

Locations

11723 Old Glenn Hwy
Ste 201
Eagle River, AK 99577
Phone (907) 688-4979

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1588021232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777750",
            "telephone_number": "907-688-4979",
            "fax_number": "866-929-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 201",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777750",
            "telephone_number": "907-688-4979",
            "fax_number": "866-929-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL MATCHMAKERS/HOME OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LEEHAM",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-688-4979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.