Prism Eye Associates LLC
Organization Active NPI Optometrist · Valdez, AK
NPI 1962097469 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1962097469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- PRISM EYE ASSOCIATES LLC
- Practice address
- 104 Chenega Ave, Ste C
Valdez, AK 99686-1368 - Phone
- (907) 885-3999
- NPI assigned
- Mar 5, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- PRISM EYE ASSOCIATES LLC
Authorized official
- Name
- David J Pedigo, OD
- Title
- Managing Member
- Phone
- (907) 891-7191
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Prism Eye Associates LLC
- Part of
- Prism Eye Associates LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
104 Chenega Ave, Ste C
Valdez, AK 99686-1368
Mailing address
1515 E Tudor Rd Ste 5
Anchorage, AK 99507-1036
Phone (907) 885-3999
Other names
- Prism Optical & Eye Care
- Valdez Eye Care
Other providers in Valdez, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.