Vision Centers of Alaska, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION CENTERS OF ALASKA, INC

Practice address

3137 Tongass Ave Ste C
Ketchikan, AK 99901-5745

Phone

(907) 444-1850

NPI assigned

Dec 6, 2023

Last updated

May 30, 2024By 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

David Pedigo, ODNPI 1093790701

Title

Director of Optometric Services

Phone

(907) 444-1850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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.

• David J Pedigo, OD

  • Optometrist
  • Anchorage, AK
  • NPI 1093790701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1942077243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 TONGASS AVE STE C",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015745",
            "telephone_number": "907-444-1850",
            "fax_number": "907-444-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 TONGASS AVE STE C",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015745",
            "telephone_number": "907-444-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Third Avenue, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "AK",
            "postal_code": "996649999",
            "country_code": "US",
            "telephone_number": "907-444-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Chenega Ave, Ste 1368",
            "address_purpose": "LOCATION",
            "city": "Valdez",
            "state": "AK",
            "postal_code": "996861368",
            "country_code": "US",
            "telephone_number": "907-444-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 First Street #102",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "AK",
            "postal_code": "995749999",
            "country_code": "US",
            "telephone_number": "907-444-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 South Sing Lee Alley Unit 1",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "AK",
            "postal_code": "998339999",
            "country_code": "US",
            "telephone_number": "907-444-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION CENTERS OF ALASKA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF OPTOMETRIC SERVICES",
        "authorized_official_telephone_number": "907-444-1850",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.