Far North Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

277 Issued in AK

Legal business name

FAR NORTH EYE CARE, LLC

Practice address

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

Phone

(907) 770-7747

Fax

(425) 328-1254

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

David J Pedigo, OD

Title

Owner

Phone

(907) 891-7191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1770908519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ARCTIC BLVD",
            "address_2": "#2244",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035774",
            "telephone_number": "907-891-7191",
            "fax_number": "425-328-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071036",
            "telephone_number": "907-770-7747",
            "fax_number": "425-328-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR NORTH EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-891-7191",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senerita Fanene
• Junlin Fang
• William James Fanning
• Victoria Fanslow, MD
• Far North Care Coordination Agency
• Far North Health Services LLC
• Far North Medical Supplies LLC
• Far North Speech Therapy
• Far North Surgery and Surgical Oncology PC
• Far North Urology & Research PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.