DR. TARAH RUTH DESATOFF (NPI# 1497317168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497317168 |
| Entity Type | Individual |
| Full Name | DR. TARAH RUTH DESATOFF |
| Credential | OD |
| Practice Address |
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 |
| Mailing Address |
7033 E Tudor Rd Anchorage AK 99507-1262 |
| Practice Telephone | 9076317640 |
| Mailing Telephone | 9077296799 |
| Mailing Fax Number | 9077298607 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | PENDING | AK | Eye and Vision Services Providers |
| Street Address |
1001 S KNIK GOOSE BAY RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245285964 | Laurie Elizabeth Dahms | Family Medicine | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2006-05-23 |
| 1154947570 | Heather Hamilton | Advanced Practice Midwife | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2020-06-22 |
| 1356964662 | Allison Michelle Hillen | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2020-05-20 |
| 1619526381 | Emily K Wood | Counselor | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-09-05 |
| 1114573284 | Emily Marie Schmitt | Nurse Practitioner | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-08-14 |
| 1225683709 | Jolie Miller | Registered Nurse | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-08-01 |
| 1003469719 | Southcentral Foundation | Community/Behavioral Health | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-07-22 |
| 1417518143 | Holli Blake | Social Worker | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-06-24 |
| 1831755560 | Kathy Bowman | Case Manager/Care Coordinator | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-05-17 |
| 1730745472 | Brenda Michele Paradise | Case Manager/Care Coordinator | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-05-17 |
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| 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 |
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| 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 |
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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.