Ursa Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

URSA OPTICAL, LLC

Practice address

400 L St Ste 104
Anchorage, AK 99501-1900

Phone

(206) 387-5552

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Volland, ODNPI 1972838050

Title

Member, Optometrist

Phone

(206) 387-5552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Volland, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1972838050

  AK

  Medicare reassignment NPD Authorized official
• William Douglas Faulkner, O.D

  • Optometrist
  • Anchorage, AK
  • NPI 1861527079
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1992278170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 NW MARKET ST # 1530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 L ST STE 104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995011900",
            "telephone_number": "206-387-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSA OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "VOLLAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER, OPTOMETRIST",
        "authorized_official_telephone_number": "206-387-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenneth Uricuoli
• Uris Hall LLC
• Urogynecology Associates of Alaska, LLC
• Amanda Renee Urrabazo
• Allizon Zazary Urrutia, BA
• Sally Rowlett Urvina, ANP
• Dante Urviola-Lopez
• Usv Optical Inc.
• Margaret Utaileuo
• Roy Kenji Uyeno, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.