MICHAEL J BENNETT (NPI# 1053503698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053503698 |
| Entity Type | Organization |
| Organization Name | MICHAEL J BENNETT |
| Other Organization Name | LIFETIME EYECARE |
| Practice Address |
9309 Glacier Hwy Ste A103 Juneau AK 99801-9300 |
| Practice Telephone | 9077893175 |
| Practice Fax Number | 9077891778 |
| Mailing Telephone | 9077893175 |
| Mailing Fax Number | 9077891778 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | DR. MICHAEL BENNETT (OWNER) |
| Authorized Official Telephone | 9077893175 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 273325 | AK | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Lifetime Eyecare | Doing Business As Name - Organization |
| Street Address |
9309 GLACIER HWY STE A103 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558454553 | Michael J Bennett | Optometrist | 9309 Glacier Hwy Ste A103, Juneau, AK 99801-9300 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447690037 | Sarah Woolcott Bixby-dubois | Optometrist | 800 Glacier Ave Ste B, Juneau, AK 99801-1855 | 2013-06-27 |
| 1790859528 | Christopher Shawn Wallace | Optometrist | 8745 Glacier Hwy, Space 426, Juneau, AK 99801-8029 | 2006-11-20 |
| 1346319878 | Northwest Optometry LLC | Optometrist | 5225 Commercial Blvd, Juneau, AK 99801-7210 | 2006-11-07 |
| 1558454553 | Michael J Bennett | Optometrist | 9309 Glacier Hwy Ste A103, Juneau, AK 99801-9300 | 2006-10-02 |
| 1437259678 | Forrest Bates Messerschmidt | Optometrist | 8800 Glacier Hwy Ste 118, Juneau, AK 99801-8079 | 2006-09-25 |
| 1700801420 | Jill Geering Matheson | Optometrist | 800 Glacier Ave, Juneau, AK 99801-1845 | 2006-07-13 |
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1427462258 | Hanna Rae Fylpaa | Optometrist | 3100 Channel Dr, Suite 300, Juneau, AK 99801-7837 | 2014-06-19 |
| 1437574506 | Eye On Health Inc | Optometrist | 8745 Glacier Hwy, 426, Juneau, AK 99801-8029 | 2014-02-26 |
| 1942589783 | Elizabeth Mary Hunt | Optometrist | 9309 Glacier Hwy, Ste A103, Juneau, AK 99801-9306 | 2011-08-10 |
| Find all providers in JUNEAU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.