AUSTIN ANDERSON (NPI# 1063068328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063068328 |
| Entity Type | Individual |
| Full Name | AUSTIN ANDERSON |
| Credential | OD |
| Practice Address |
4505 E Greenstreet Cir Wasilla AK 99654-8425 |
| Practice Telephone | 0793762020 |
| Practice Fax Number | 9073573937 |
| Mailing Telephone | 0793762020 |
| Mailing Fax Number | 9073573937 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100447 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565433 | Austin Anderson | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2019-05-30 |
| 1083186548 | Austin Anderson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-21 |
| 1669969044 | Austin Scott Anderson | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Fontana, CA 92335 | 2018-04-20 |
| 1699298596 | Austin Anderson | Dentist | 12221 Merit Dr Ste 470, Dallas, TX 75251-2235 | 2017-07-23 |
| 1821478843 | Austin Anderson | Occupational Therapy Assistant | 308 W Emma St, Union Gap, WA 98903-1940 | 2015-06-04 |
| 1679992275 | Austin Anderson | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2014-04-10 |
| 1467733865 | Austin Kyle Anderson | Pharmacist | 4125 Debarr Rd, Anchorage, AK 99508-3115 | 2011-08-30 |
| Street Address |
4505 E GREENSTREET CIR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205801586 | Evan Wolf | Ophthalmology | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2006-02-21 |
| 1831542414 | Alyssa M Harris | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2016-07-19 |
| 1689006942 | Amber Mayberry | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2013-08-08 |
| 1144451741 | Lauren Kanemi Evans | Optometrist | 4505 E Greenstreet Cir, Wasilla, AK 99654-8425 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1942832183 | Alexandra Jordan Louise Coon | Optometrist | 935 E Westpoint Dr Ste 207, Wasilla, AK 99654-7181 | 2020-02-05 |
| 1528503158 | Eye Guys LLC | Optometrist | 285 E Parks Hwy, Wasilla, AK 99654-7039 | 2017-01-06 |
| 1063740363 | Wolf Eye Center, Inc. | Optometrist | 4505 E Greenstreet Circle, Wasilla, AK 99654 | 2009-11-24 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1194854604 | Alaska Eye Care Centers, Apc | Optometrist | 1700 E Parks Hwy # 300, Wasilla, AK 99654-7352 | 2007-03-02 |
| 1376504035 | Marilyn Holm | Optometrist | 1320 S Countrywood Dr, Wasilla, AK 99623-9228 | 2006-03-31 |
| 1881660207 | Kevin C. Berg, O.d., LLC | Optometrist | 1350 S Seward Meridian Pkwy, Wasilla, AK 99654-8332 | 2006-02-25 |
| 1144295809 | Lynn J Coon | Optometrist | 935 E Westpoint Dr, Ste 207, Wasilla, AK 99654 | 2006-02-17 |
| 1730186867 | Edward Carl Godnig | Optometrist | 285 E Parks Hwy Ste A, Wasilla, AK 99654-7039 | 2005-07-05 |
| 1992344923 | Cap Eye LLC | Optometrist | 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 | 2019-12-20 |
| Find all providers in WASILLA | ||||
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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.