Organization Active NPI

Family Eye Care Center, Inc.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1649331844
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
71 Issued in AK
Legal business name
FAMILY EYE CARE CENTER, INC.
Practice address
2600 Denali St
Suite 603
Anchorage, AK 99503-2739
Phone
(907) 274-7825
NPI assigned
Dec 12, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Thomas Roselius
Title
Owner
Phone
(907) 274-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 71 AK Primary

Addresses

Primary practice location

2600 Denali St
Suite 603
Anchorage, AK 99503-2739

Mailing address

2600 Denali St
Suite 603
Anchorage, AK 99503-2739
Phone (907) 274-7825

Other identifiers 1

IdentifierTypeStateIssuer
OP0070MedicaidAK

National Provider Directory

National Provider Directory

Locations

2600 Denali St
Ste 603
Anchorage, AK 99503
Phone (907) 274-7825

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1649331844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST",
            "address_2": "SUITE 603",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032739",
            "telephone_number": "907-274-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST",
            "address_2": "SUITE 603",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032739",
            "telephone_number": "907-274-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ROSELIUS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-274-7825"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0070",
            "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 Mar 6, 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.

Verify at the official NPI Registry.