Eagle Eye Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAGLE EYE OPTOMETRY, LLC

Practice address

410 Merhar Ave Ste C1
Fairbanks, AK 99701-3192

Phone

(907) 388-6528

NPI assigned

May 14, 2025

Organization subpart

No

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

Authorized official

Name

Ashley Ellis, O.D.NPI 1700239126

Title

Owner/Optometrist

Phone

(907) 388-6528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

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

• Ashley Elizabeth Norum Ellis, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1700239126

  AK

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1770374233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 YAK RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092408",
            "telephone_number": "907-388-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MERHAR AVE STE C1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013192",
            "telephone_number": "907-388-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "907-388-6528",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis P Dussman, DMD
• Phillip Duty
• Rose Duvall
• Dynami Care Coordination LLC
• Judith Ann Dyrenforth, SPEECH PATHOLOGIST
• Rita Eaglehead, B.ED.
• Gary Eaker
• Wendell O Eames, M.D.
• Ear Nose & Throat Clinic Inc.
• Mary K Early, COTAL

• Optometrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.