Active NPI
Benjamin Alexander Ward, OPTICIAN
- Optician
- Anchorage, AK
National Provider Identifier
1629255484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- AAOO74
- Practice address
- 554 E 3Rd Ave
Anchorage, AK 99501-2620 - Phone
- (907) 278-2020
- Fax
- (907) 279-2020
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | AAOO74 | AK | Primary |
Addresses
Primary practice location
554 E 3Rd Ave
Anchorage, AK 99501-2620
Mailing address
554 E 3Rd Ave
Anchorage, AK 99501-2620
Phone (907) 278-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPO740 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AAOO74 | AK | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Optical Service,Inc | Past | Accepting new patients | |
| DJ Kosterman OD LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Anchorage, AK
- NPI 1548391162
-
- Optometrist
- Eagle River, AK
- NPI 1356523831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1629255484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 E 3RD AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012620",
"telephone_number": "907-278-2020",
"fax_number": "907-279-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 E 3RD AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012620",
"telephone_number": "907-278-2020",
"fax_number": "907-279-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "BENJAMIN",
"middle_name": "ALEXANDER",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "AAOO74",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OPO740",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.