Organization Active NPI

Vision Plastics USA Inc.

  • Optician
  • Anchorage, AK
National Provider Identifier
1659612315
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
AA-159 Issued in AK
Legal business name
VISION PLASTICS USA INC.
Practice address
3500 Latouche St
Suite 100
Anchorage, AK 99508-4260
Phone
(907) 562-2845
Fax
(907) 562-2956
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Mr. Candelario Villanueva Jr.NPI 1477722296
Title
President
Phone
(907) 562-2845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X AA-159 AK Primary

Addresses

Primary practice location

3500 Latouche St
Suite 100
Anchorage, AK 99508-4260

Mailing address

3500 Latouche St
Suite 100
Anchorage, AK 99508-4260
Phone (907) 562-2845

Other identifiers 1

IdentifierTypeStateIssuer
OP 1159MedicaidAK

Other names 1

  • Ultra Eyewear Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ultra Eyewear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 Latouche St
Ste 100
Anchorage, AK 99508
Phone (907) 562-2845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1659612315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084260",
            "telephone_number": "907-562-2845",
            "fax_number": "907-562-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084260",
            "telephone_number": "907-562-2845",
            "fax_number": "907-562-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLASTICS USA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "CANDELARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-562-2845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "AA-159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP 1159",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Eyewear Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2013; 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.