NPIMap

Organization Active NPI

Bradley T Cross OD PC

  • Corneal and Contact Management Optometrist
  • Soldotna, AK
National Provider Identifier
1790022978
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
326 Issued in AK
Legal business name
BRADLEY T CROSS OD PC
Practice address
44332 Sterling Hwy Ste 52
Soldotna, AK 99669-8065
Phone
(907) 260-9199
Fax
(907) 260-9189
NPI assigned
Jan 9, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Bradley T Cross, ODNPI 1326099862
Title
Owner
Phone
(907) 260-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 326 AK Primary

Addresses

Primary practice location

44332 Sterling Hwy Ste 52
Soldotna, AK 99669-8065

Mailing address

35605 K Beach Rd
Kenai, AK 99611-8770
Phone (678) 234-7869

Other practice location 1

44332 Sterling Hwy
Suite 18
Soldotna, AK 99669-8066
Phone (907) 260-9199

National Provider Directory

National Provider Directory

Locations

44332 Sterling Hwy
Ste 18
Soldotna, AK 99669
Phone (907) 260-9199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790022978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35605 K BEACH RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118770",
            "telephone_number": "678-234-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44332 STERLING HWY STE 52",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698065",
            "telephone_number": "907-260-9199",
            "fax_number": "907-260-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44332 Sterling Hwy",
            "address_2": "Suite 18",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996698066",
            "country_code": "US",
            "telephone_number": "907-260-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADLEY T CROSS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-260-9199",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AK",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.