Individual provider Active NPI

Laura K Sifferman, O.D.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1962477398
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
332 Issued in AK
Practice address
12570 Old Seward Hwy.
104
Anchorage, AK 99515-4433
Phone
(907) 334-3937
Fax
(907) 885-2522
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003594 WA
Optometrist 152W00000X 332 AK Primary

Addresses

Primary practice location

12570 Old Seward Hwy.
104
Anchorage, AK 99515-4433

Mailing address

12570 Old Seward Hwy.
Suite 104
Anchorage, AK 99515-4433
Phone (907) 334-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408001175 AK Practitioner - Optometry 4587683883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services- WashingtonGroup PAC ID 1557408176, 219 clinicians

Practice addresses (Care Compare)

4800 Cordova St
Anchorage, AK 99503-7218
Phone (907) 561-3333

910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100

920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
332AKMDClinical Psychologist
OD00003594WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 1, 2022 Accepting new patients
Roosevelt Vision Clinic, PLLC Optometrist Current Accepting new patients

Locations

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

9706 4th Ave NE
Ste 100
Seattle, WA 98115
Phone (206) 527-2987

Interoperability endpoints

  • Direct secure messaging: laura.kompkoff@uprisedirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962477398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 OLD SEWARD HWY.",
            "address_2": "SUITE 104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154433",
            "telephone_number": "907-334-3937",
            "fax_number": "907-885-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 OLD SEWARD HWY.",
            "address_2": "104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154433",
            "telephone_number": "907-334-3937",
            "fax_number": "907-885-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFERMAN",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003594",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.