OPTICAL CENTER (NPI# 1407125123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407125123 |
| Entity Type | Organization |
| Organization Name | OPTICAL CENTER |
| Practice Address |
451 Broadway Street Eielson Afb Aafes Exchange Eielson AK 99702 |
| Mailing Address |
296 Grayson Hwy Lawrenceville GA 30046-5737 |
| Practice Telephone | 9073725106 |
| Mailing Telephone | 7708223600 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | SUSAN EDICK (MC ASST) |
| Authorized Official Telephone | 6788923774 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL VISION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225307945 | Optical Center | Technician/Technologist | Ft. Wainwright Aafes Exchange, Bldg 3703, Oak St., Ft. Wainwright, AK 99703 | 2011-12-27 |
| 1518240662 | Optical Center | Technician/Technologist | 143 Replacement Ave Bldg 478, Fort Leonard Wood, MO 65473-9092 | 2011-09-26 |
| 1265759724 | Optical Center | Technician/Technologist | 7742 Colorado Ave Bldg 850, Fort Polk, LA 71459-5306 | 2010-04-23 |
| 1548585763 | Optical Center | Technician/Technologist | 506 Larcher Blvd Bldg 2306, Keesler Afb, MS 39534-2342 | 2010-03-30 |
| 1841512605 | Optical Center | Technician/Technologist | 300 A Ave Bldg 1605, Fort Lee, VA 23801-1520 | 2010-02-22 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1952545824 | Optical Center | Technician/Technologist | 23640 N St Bldg 758, Riverside, CA 92518-1893 | 2009-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | OPTICAL CENTER OF BURLINGTON | 107 Church Street, Burlington, VT 05401 |
| Connecticut Business Registrations | OPTICAL CENTER, INC. | 255 West River St, Milford, CT 06460 |
| Street Address |
451 BROADWAY STREET EIELSON AFB AAFES EXCHANGE |
| City | EIELSON |
| State | AK |
| Zip Code | 99702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 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 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 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 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1588021232 | Optical Matchmakers/home Optics LLC | Technician/Technologist | 11723 Old Glenn Hwy Ste 201, Eagle River, AK 99577-7750 | 2016-01-26 |
| 1225307945 | Optical Center | Technician/Technologist | Ft. Wainwright Aafes Exchange, Bldg 3703, Oak St., Ft. Wainwright, AK 99703 | 2011-12-27 |
| 1427341734 | Julie Beth Johnson | Technician/Technologist | 5710 Denali St, Anchorage, AK 99518-1342 | 2011-05-19 |
| 1538452925 | Andrew Fox | Technician/Technologist | 3561 E Tudor Rd, Anchorage, AK 99507-1216 | 2011-05-18 |
| 1568760783 | Village Eye Wear Inc | Technician/Technologist | 205 E Benson Blvd, Anchorage, AK 99503-4019 | 2011-03-11 |
| 1285962035 | Tammy Elizabeth Collings | Technician/Technologist | 2709 E 17th Ave, Anchorage, AK 99508-3209 | 2009-12-04 |
| 1871755801 | Josephine Arciaga Sangster | Technician/Technologist | 1905 Mendenhall Mall Road, Suite 357, Juneau, AK 99801 | 2008-07-01 |
| 1285891309 | Richard Edd White | Technician/Technologist | 8745 Glacier Hwy Ste 426, Juneau, AK 99801-8092 | 2008-05-16 |
| 1093920670 | Christi Lb Mcwilliams | Technician/Technologist | 29 College Rd Ste 14, Fairbanks, AK 99701-1739 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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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.