Prism Optical of Alaska, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

178 Issued in AK

Legal business name

PRISM OPTICAL OF ALASKA, INC.

Practice address

1515 E Tudor Rd
Suite 5
Anchorage, AK 99507-1036

Phone

(907) 770-7747

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Ronald Gitlan

Title

President

Phone

(305) 754-5894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1770630527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10954 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682108",
            "telephone_number": "305-754-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071036",
            "telephone_number": "907-770-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM OPTICAL OF ALASKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GITLAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-754-5894"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Prince
• Jennifer Michele Prince, LMT
• Kristina Lynn Prince, L.M.T.
• Daniel W. Prior, PH.D.
• Prism Eye Associates LLC (Prism Optical & Eye Care)
• Tyche V Privett, REGISTERED NURSE
• Anthony A. Privratsky, MD, PHD
• Pro Vision Anesthesia Services
• Procare Home Medical, Inc. (Procare Home Medical)
• Whitney Prochownik

• Durable Medical Equipment & Medical Supplies in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.