DJ KOSTERMAN OD LLC (NPI# 1356523831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356523831 |
| Entity Type | Organization |
| Organization Name | DJ KOSTERMAN OD LLC |
| Practice Address |
11401 Old Glenn Hwy Ste 106b Eagle River AK 99577-7747 |
| Practice Telephone | 9076968733 |
| Practice Fax Number | 9076968735 |
| Mailing Telephone | 9076968733 |
| Mailing Fax Number | 9076968735 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | DAN J KOSTERMAN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9076963031 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 161 | AK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | OD11612 | 05 |
| Street Address |
11401 OLD GLENN HWY STE 106B |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| 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 |
|---|---|---|---|---|
| 1033323225 | Chugach Eye Clinic and Optical, Inc. | Optometrist | 10928 Eagle River Rd Ste 102, Eagle River, AK 99577-8078 | 2007-05-09 |
| 1386719953 | Daniel J Kosterman | Optometrist | 11401 Old Glenn Hwy 106b, Eagle River, AK 99577 | 2006-11-21 |
| 1962470864 | Rebecca Kae Musick | Optometrist | 16331 Heritage Pl Ste 104, Eagle River, AK 99577-7753 | 2006-03-08 |
| 1043280647 | Christine Ann Tasso | Optometrist | 7015 Kulchay Cir, Eagle River, AK 99577-9100 | 2006-01-25 |
| 1760487607 | Dale T Massignan | Optometrist | 523 East Wall Street, Eagle River, WI 54521 | 2005-06-16 |
| 1790814622 | Dawn Lynn Harms | Optometrist | 13401 Old Glenn Hwy, Suite B, Eagle River, AK 99577-7565 | 2007-03-05 |
| 1417992553 | Levi Marc Porter | Optometrist | 16331 Heritage Pl, Ste 104, Eagle River, AK 99577-7753 | 2006-06-20 |
| 1730129131 | Robert Jay Fleckenstein | Optometrist | 16331 Heritage Pl, Suite 104, Eagle River, AK 99577-7714 | 2006-06-07 |
| 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 | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on DJ KOSTERMAN OD LLC.
| 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.