Denise Lynn Thanepohn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AA096 Issued in AK

Practice address

1345 W 9TH Ave
Anchorage, AK 99501-3219

Phone

(907) 272-2557

Fax

(907) 274-4932

NPI assigned

Aug 8, 2006

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alaska Eye Care Centers, Apc

  • Optometrist
  • Anchorage, AK
  • NPI 1871573485
  Medicare reassignment NPD
• Alaska Eye Care Centers, Apc

  • Optometrist
  • Wasilla, AK
  • NPI 1194854604
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1649280058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013219",
            "telephone_number": "907-272-2557",
            "fax_number": "907-274-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013219",
            "telephone_number": "907-272-2557",
            "fax_number": "907-274-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANEPOHN",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0096",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Tessandore
• Bee H. Tessum, LCSW
• Levi Tetpon
• Landis Trevor Tew, DC
• Kobe Keo Liftee Thammavongsa
• Yang Pao Thao
• Rebecca Thario, RPH
• That's My Peds Gi Pediatric Gastroenterology, LLC
• Samantha Thayer
• The Alaska Multiple Sclerosis Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.