TB McLaughlin OD a Professional Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

A66 Issued in AK

Legal business name

TB MCLAUGHLIN OD A PROFESSIONAL CORP

Practice address

4007 Old Seward Hwy
Ste 1100
Anchorage, AK 99503-6075

Phone

(907) 563-1918

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Timothy B McLaughlin, OD

Title

President

Phone

(907) 563-1918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1831436112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY",
            "address_2": "STE 1100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY",
            "address_2": "STE 1100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036075",
            "telephone_number": "907-563-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB MCLAUGHLIN OD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-563-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "A66",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP00661",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.