DR. NIVEDITA CHANDRASEKHARAN


Address: 2555 Phillips Field Rd, Fairbanks, AK 99709-3933
Phone: 9073282920

DR. NIVEDITA CHANDRASEKHARAN (NPI# 1164763058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164763058
Entity Type Individual
Full Name DR. NIVEDITA CHANDRASEKHARAN
Credential OD, FAAO
Practice Address 2555 Phillips Field Rd
Fairbanks
AK 99709-3933
Mailing Address 200 S Wells Rd
Suite 225
Ventura
CA 93004-1377
Practice Telephone 9073282920
Practice Fax Number 9074562914
Mailing Telephone 8056476322
Enumeration Date 2013-03-03
Last Update Date 2018-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 134200 AK Eye and Vision Services Providers
N 152W00000X Optometrist 14592 CA Eye and Vision Services Providers
N 152W00000X Optometrist TA2305 MD Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 S Wells Rd, Suite 225, Ventura, CA 930041377 8056476322

Office Location

Street Address 2555 PHILLIPS FIELD RD
City FAIRBANKS
State AK
Zip Code 99709-3933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952324618 Sharon Lola Richards Physical Therapist 2555 Phillips Field Rd, Suite 202, Fairbanks, AK 99709-3933 2006-07-25
1700404779 Haley Evens Registered Nurse 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2020-07-07
1629568738 Matthew Myron Priebe Acupuncturist 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2018-05-14
1720486814 Pierre M Johnson, Md PC Clinic/Center 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2014-12-05
1861834772 Susan A Guritz Occupational Therapist 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2013-07-19
1235470121 Kimberly Sweazy Naturopath 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2013-03-03
1891034682 Heather Jorgensen Massage Therapist 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2013-02-13
1760767818 Scott Amestoy Optometrist 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 2011-10-19
1417237041 Courtney Jean Heinz Physical Therapist 2555 Phillips Field Rd, Ste 202, Fairbanks, AK 99709-3933 2011-08-26
1619113123 Aisha Correa Wilbur Physical Therapist 2555 Phillips Field Rd, Suite 202, Fairbanks, AK 99709-3933 2009-01-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255946810 Beacon Monitoring Professional Services Technician, Other 745 Staffordshire Rd, Fairbanks, AK 99709 2020-09-10
1235629544 Fairbanks Healing Space Health Educator 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 2018-05-11
1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
1255652285 Surgery Center of Fairbanks LLC Clinic/Center 2310 Peger Road, Fairbanks, AK 99709 2010-06-14
1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396947297 Virginia R. Lind Optometrist 59 College Rd Ste 209, Fairbanks, AK 99701-1757 2007-06-03
1235354515 West Valley Vision Center, Inc Optometrist 4169 Geist Rd, Fairbanks, AK 99709-3420 2007-04-13
1235252073 W. Henry Macpherson Optometrist 537 Johansen Expressway, Walmart Vision Center, Fairbanks, AK 99701 2007-04-09
1093874182 Augusta Ann Plassmann King Optometrist 1521 Stacia St, Unit B, Fairbanks, AK 99701-6135 2006-12-06
1235298134 Barbara M Keys Optometrist 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 2006-12-06
1558453753 Virginia R Lind & Ronald L Lind Lind Virginia R Gen Ptr Optometrist 59 College Road, Suite 209, Fairbanks, AK 99701-1757 2006-09-28
1114935616 Anita Mullins Optometrist 201 Old Steese Hwy Ste 2, Fairbanks, AK 99701-3160 2006-08-03
1568478782 William Matthew Riley Optometrist 1867 Airport Way Ste 150a, Fairbanks, AK 99701-4061 2006-07-31
1164411930 David James Peterson Optometrist 116 Minnie St, Fairbanks, AK 99701-3006 2005-10-14
1841807062 Terry David Bell Optometrist 116 Minnie St, Fairbanks, AK 99701-3006 2020-10-01
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99709

Improve Information

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Dataset Information

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.

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