Active NPI
Beverly Harper, OPTICIAN
- Optician
- Anchorage, AK
National Provider Identifier
1942991096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DOPD203
- Practice address
- 529 W 2ND Ave
Anchorage, AK 99501-2207 - Phone
- (907) 276-1021
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DOPD203 | AK | Primary |
| Clinical Social Worker | 1041C0700X | 112468 | AK |
Addresses
Primary practice location
529 W 2ND Ave
Anchorage, AK 99501-2207
Mailing address
PO Box 112153
Anchorage, AK 99511-2153
Phone (907) 244-3071
Other practice location 1
5540 Cape Seville Dr
Anchorage, AK 99516-7533
Phone (907) 244-3011
Other names 1
- Beverly J Harper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112468 | AK | MD | Clinical Social Worker |
| DOPD203 | AK | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyedentity Ak, LLC Dba.. Cook Inlet Eyewear | Optician | Current | Accepting new patients |
| Cook Inlet Eyecare Inc | Optician | Past | Accepting new patients |
Locations
529 W 2nd Ave
Anchorage, AK 99501
Phone (907) 276-1021
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Anchorage, AK
- NPI 1912872698
-
- Optician
- Anchorage, AK
- NPI 1295864601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1942991096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112153",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995112153",
"telephone_number": "907-244-3071",
"fax_number": "907-278-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 W 2ND AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012207",
"telephone_number": "907-276-1021"
}
],
"practiceLocations": [
{
"address_1": "5540 Cape Seville Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995167533",
"country_code": "US",
"telephone_number": "907-244-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARPER",
"first_name": "BEVERLY",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "DOPD203",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "112468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "HARPER",
"middle_name": "J",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.