Individual provider Active NPI

Emily Paige Oliver, OD

  • Optometrist
  • Dillingham, AK
National Provider Identifier
1720722879
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
188790 Issued in AK
Practice address
6000 Kanakanak Rd
Dillingham, AK 99576
Phone
(800) 478-5201
NPI assigned
Apr 25, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 188790 AK Primary

Addresses

Primary practice location

6000 Kanakanak Rd
Dillingham, AK 99576

Mailing address

1686 Brown CT
Longmont, CO 80503-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220714000063 TX Practitioner - Optometry 4385025923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corportion Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 29, 2022 Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 29, 2022 Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corporation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corportation Single Specialty Current Accepting new patients
Bristol Bay Area Health Corportion Single Specialty Current Accepting new patients
Southcentral Foundation Single Specialty PastSince Sep 5, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: epoliver@direct.bbahc.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1720722879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 BROWN CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 KANAKANAK RD",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "99576",
            "telephone_number": "800-478-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "EMILY",
        "middle_name": "PAIGE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "188790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillingham, AK

Sources for this page

Verify at the official NPI Registry.