NPIMap

Organization Active NPI

Alaska Childrens Eye and Strabismus LLC

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1851721146
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3686 Issued in AK
Legal business name
ALASKA CHILDRENS EYE AND STRABISMUS LLC
Practice address
3500 Latouche Street
Suite 280
Anchorage, AK 99508
Phone
(907) 561-1917
Fax
(907) 563-5373
NPI assigned
Nov 22, 2013
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Dr. Robin L. Grendahl, MDNPI 1730281684
Title
Pediatric Ophthalmology
Phone
(907) 561-1917

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
Ophthalmology Physician 207W00000X 3686 AK Primary

Addresses

Primary practice location

3500 Latouche Street
Suite 280
Anchorage, AK 99508

Mailing address

3500 Latouche Street
Suite 280
Anchorage, AK 99508
Phone (907) 561-1917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327000071 AK Part B Supplier - Clinic/Group Practice 8527299056 Receives reassigned benefits from 5 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3500 Latouche St
Ste 280
Anchorage, AK 99508
Phone (907) 561-1917

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ACES
  • Direct secure messaging: jtownley@aces.intellechartdirect.net
  • Direct secure messaging: rarnold@aces.intellechartdirect.net
  • Direct secure messaging: rgrendahl@aces.intellechartdirect.net
  • Direct secure messaging: rwinkle@aces.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 9

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": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1851721146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE STREET",
            "address_2": "SUITE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-1917",
            "fax_number": "907-563-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE STREET",
            "address_2": "SUITE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-1917",
            "fax_number": "907-563-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA CHILDRENS EYE AND STRABISMUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "GRENDAHL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PEDIATRIC OPHTHALMOLOGY",
        "authorized_official_telephone_number": "907-561-1917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.