Organization Active NPI

Last Frontier Eye Care

  • Optometrist
  • Nome, AK
National Provider Identifier
1811598535
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAST FRONTIER EYE CARE
Practice address
309 Bering St
Nome, AK 99762
Phone
(907) 443-3553
Fax
(844) 901-4313
NPI assigned
Nov 9, 2020
Last updated
Feb 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Marcy Oneil, ODNPI 1881905172
Title
Optometrist/Partner
Phone
(907) 443-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

309 Bering St
Nome, AK 99762

Mailing address

PO Box 1049
Nome, AK 99762-1049
Phone (907) 443-3553

Other identifiers 1

IdentifierTypeStateIssuer
1070705MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405002216 AK Part B Supplier - Clinic/Group Practice 1850702325 Receives reassigned benefits from 2 practitioners
Practice locations: Nome, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1811598535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997621049",
            "telephone_number": "907-443-3553",
            "fax_number": "844-901-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BERING ST",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3553",
            "fax_number": "844-901-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAST FRONTIER EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "ONEIL",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "907-443-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070705",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.