NPIMap

Organization Active NPI

Maygren Family Eye Care

  • Optometrist
  • Fairbanks, AK
National Provider Identifier
1871886176
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
297 Issued in AK
Legal business name
MAYGREN FAMILY EYE CARE
Practice address
1521 Stacia St
Fairbanks, AK 99701-6135
Phone
(907) 456-4822
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Annelle G Maygren, O.D.NPI 1477556488
Title
President/Optometrist
Phone
(907) 456-4822

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 297 AK Primary

Addresses

Primary practice location

1521 Stacia St
Fairbanks, AK 99701-6135

Mailing address

1521 Stacia St
Fairbanks, AK 99701-6135
Phone (907) 456-4822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1871886176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 STACIA ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016135",
            "telephone_number": "907-456-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 STACIA ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016135",
            "telephone_number": "907-456-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYGREN FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "MAYGREN",
        "authorized_official_first_name": "ANNELLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "907-456-4822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.