Midnight Sun Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

100921 Issued in AK

Legal business name

MIDNIGHT SUN OPTOMETRY

Practice address

281 N Main St
Wasilla, AK 99654-7046

Phone

(907) 978-1937

NPI assigned

Jul 9, 2018

Last updated

Feb 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisabeth Angeles

Title

Manager

Phone

(907) 978-1937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raul Angeles Jr., OD

  • Optometrist
  • Jber, AK
  • NPI 1285017194
  Medicare reassignment NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1609362060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876606",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876606",
            "telephone_number": "907-978-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547046",
            "telephone_number": "907-978-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNIGHT SUN OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-978-1937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "100921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Meza, PTA
• Mary Mezzano
• Neve Marie Michael
• Michael Earl Michaud, PAC
• Richard Mickelson, PHARM. D
• Midvalley Seniors,Inc.
• Midwifery Options LLC
• Jennifer Mikkelsen, RDMS, RVT, RT(R)
• Robert Lee Milby Sr., GENERAL CONTRACTOR
• Mary Elizabeth Mildenberger, DNP

• Optometrist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.