North Pole Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPTT222 Issued in AK

Legal business name

NORTH POLE EYECARE LLC

Practice address

145 S Santa Claus LN
North Pole, AK 99705-7754

Phone

(907) 385-3937

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Acquistapace, ODNPI 1679678809

Title

Owner

Phone

(907) 978-2734

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

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.

• Marvin R. Acquistapace, O.D.

  • Optometrist
  • Fairbanks, AK
  • NPI 1679678809
  Medicare reassignment NPD Authorized official
• Sandi Acquistapace

  • Optician
  • North Pole, AK
  • NPI 1083105001
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1891282539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55897",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997050897",
            "telephone_number": "907-385-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057754",
            "telephone_number": "907-385-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POLE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "ACQUISTAPACE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-978-2734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OPTT222",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "DOPD259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dererk Daniel Murray
• My Horizon, LLC
• Hajnalka Nemeth, PHARMD
• Teresa Nicolia, M.S., CCC-SLP
• Tracy Norris
• North Pole Optical, Inc (North Pole Optical)
• North Pole Physical Therapy, Inc
• North Pole Prescription Laboratory Inc (Alaska Family Pharmacy)
• North Pole Prescription Laboratory Inc (Alaska Family Pharmacy)
• North Pole Veterinary Hospital, Inc

• Optometrist in North Pole, AK
• Providers in North Pole, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.