ERIC NOLL (NPI# 1174864904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174864904 |
| Entity Type | Individual |
| Full Name | ERIC NOLL |
| Credential | OD |
| Practice Address |
2630 Central Ave # 3349 Eielson Afb AK 99702 |
| Mailing Address |
112 Dark Hollow Rd Duncannon PA 17020-9744 |
| Practice Telephone | 9073771847 |
| Mailing Telephone | 7173075761 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OEG002808 | PA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 116944 | AK | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Dark Hollow Rd, Duncannon, PA 170209744 | 7173075761 | |
| 2555 Phillips Field Rd, Fairbanks, AK 997093933 | 9073282920 | 9074562914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669663076 | Eric P Noll | Physical Medicine & Rehabilitation | 12905 W Dodge Rd, Omaha, NE 68154-2145 | 2007-08-09 |
| 1912432691 | Eric Michael Noll | Registered Nurse | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2017-05-01 |
| 1497280200 | Eric Sutton Noll | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Mail Stop 1034, Kansas City, KS 66160-7415 | 2017-04-30 |
| Street Address |
2630 CENTRAL AVE # 3349 |
| City | EIELSON AFB |
| State | AK |
| Zip Code | 99702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518586122 | Amanda Nichols | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2020-04-14 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1891256939 | Alexandra Rene Giett | Dentist | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2019-03-29 |
| 1437505963 | Dayne Kawika Bonzo | General Practice | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2016-05-13 |
| 1730541038 | Matthew Robert Kramer | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| 1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
| 1063612299 | Larry Kroll | Psychologist | 2630 Central Ave, 354 Mdos/sgoh, Eielson Afb, AK 99702 | 2007-07-25 |
| Find all providers in zip 99702 | ||||
| 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 |
| 1619515616 | Bering See Vision LLC | Optometrist | 922 E Front St, Nome, AK 99762-1785 | 2019-12-20 |
| 1821635293 | Rennard Eyecare, LLC | Optometrist | 600 E Northern Lights Blvd Ste 136b, Anchorage, AK 99503-4162 | 2019-12-04 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1992278170 | Ursa Optical, LLC | Optometrist | 400 L St Ste 104, Anchorage, AK 99501-1900 | 2019-01-09 |
| 1245700459 | Alaska Physicians Eyecare Group, P.C. | Optometrist | 8300 Homer Dr, Anchorage, AK 99518-3310 | 2018-11-30 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1952828931 | Better Sight LLC | Optometrist | 2260 Tasha Dr, Anchorage, AK 99502-5467 | 2017-08-29 |
| 1518495191 | Tessa Delaney | Optometrist | 1600 A St Ste 200, Anchorage, AK 99501-5147 | 2017-05-26 |
| 1528503158 | Eye Guys LLC | Optometrist | 285 E Parks Hwy, Wasilla, AK 99654-7039 | 2017-01-06 |
| Find all providers with the same taxonomy | ||||
| City | EIELSON AFB |
| Zip Code | 99702 |
Please comment or provide details below to improve the information on ERIC NOLL.
| 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.