Robert Jay Fleckenstein, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

183 Issued in AK

Practice address

16331 Heritage PL
Suite 104
Eagle River, AK 99577-7714

Phone

(907) 694-2511

Fax

(907) 600-1257

NPI assigned

Jun 7, 2006

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

15

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagle River Vision Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Eagle River, AK
  • NPI 1558301945
  Medicare reassignment NPD Authorized official
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569

  AK

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1730129131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL",
            "address_2": "SUITE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777714",
            "telephone_number": "907-694-2511",
            "fax_number": "907-694-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL",
            "address_2": "SUITE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777714",
            "telephone_number": "907-694-2511",
            "fax_number": "907-600-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECKENSTEIN",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023271",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Class Home Assisted Living LLC
• Torrance Fishburn, MSW, LCSW
• Blake Fisher, BA HUMAN SERVICES
• Cheryl K Fitzgerald, PA-C
• Mitchell Jacob Fitzpatrick
• Jo Flesner, REV. AND LPC
• Caitlin Fletcher, LMT
• Rudy Jerry Gilbert Florez
• Angela Floyd, LMT
• Amy Sue Foltz

• Optometrist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.