Individual provider Active NPI

Charles A Lekites, OD

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1679670657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AA152 Issued in AK
Practice address
3101 A St
Anchorage, AK 99503-4008
Phone
(907) 569-2020
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AA152 AK Primary

Addresses

Primary practice location

3101 A St
Anchorage, AK 99503-4008

Mailing address

11005 Steeple Dr
Eagle River, AK 99577-7122
Phone (907) 696-2030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260520002625 AK Practitioner - Optometry 8921577818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Noll OD PCGroup PAC ID 4284049354, 6 clinicians

Practice addresses (Care Compare)

4045 Lake Otis Pkwy
Suite 203
Anchorage, AK 99508-5227
Phone (888) 307-0165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA152AKMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679670657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 STEEPLE DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777122",
            "telephone_number": "907-696-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 A ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034008",
            "telephone_number": "907-569-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKITES",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.