Active NPI
Hubclub LLC
- Optometrist
- Fairbanks, AK
National Provider Identifier
1669716197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HUBCLUB LLC
- Practice address
- 3755 Airport Way
Fairbanks, AK 99709-4610 - Phone
- (907) 474-4900
- NPI assigned
- Nov 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen James Page, O.D.
- Title
- Managing Optometrist
- Phone
- (925) 577-2020
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Sports Vision Optometrist | 152WS0006X | |||
| Occupational Vision Optometrist | 152WX0102X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
3755 Airport Way
Fairbanks, AK 99709-4610
Mailing address
3755 Airport Way
Fairbanks, AK 99709-4610
Other names 1
- Stephen Page O.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353456000000",
"number": "1669716197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 AIRPORT WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 AIRPORT WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094610",
"telephone_number": "907-474-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUBCLUB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MANAGING OPTOMETRIST",
"authorized_official_telephone_number": "925-577-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephen Page O.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.