NPIMap

Organization Active NPI

Prism Eye Associates LLC

Doing business as Prism Optical & Eye Care

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1871100669
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRISM EYE ASSOCIATES LLC
Doing business as
Prism Optical & Eye Care
Practice address
1515 E Tudor Rd Ste 5
Anchorage, AK 99507-1036
Phone
(907) 885-3999
NPI assigned
Sep 26, 2020
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
David Pedigo, OD
Title
President
Phone
(907) 885-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Prism Optical & Eye Care Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1871100669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E TUDOR RD STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071036"
        },
        {
            "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": "907-885-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-885-3999",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Optical & Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 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.