JOHN SHANK (NPI# 1538296215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538296215 |
| Entity Type | Individual |
| Full Name | JOHN SHANK |
| Credential | OD |
| Practice Address |
3450 E. Rezanof Dr. Kodiak AK 99615 |
| Mailing Address |
Po Box 827 Kodiak AK 99615-0827 |
| Practice Telephone | 9074865504 |
| Mailing Telephone | 9074865504 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0070 | AK | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073747200 | John W. Shank | Recreation Therapist | 1413 Hillside Rd, Wynnewood, PA 19096-2406 | 2009-05-01 |
| 1154349439 | John Jacob Shank | Dentist | 2121 E Dupont Rd Ste C, Fort Wayne, IN 46825-1546 | 2006-07-17 |
| 1730576158 | John Paul Shank | Nurse Practitioner | 228 Saint Charles Way Ste 300, York, PA 17402-4661 | 2015-04-23 |
| 1831141290 | John R Shank | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-16 |
| 1306835152 | John Stephen Shank | Family Medicine | 350 Fairview Heights Rd, Summersville, WV 26651 | 2005-10-14 |
| Street Address |
3450 E. REZANOF DR. |
| City | KODIAK |
| State | AK |
| Zip Code | 99615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158375 | Eyecare Excellence PC | Optometrist | 3450 E. Rezanof Dr., Kodiak, AK 99615-0827 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| 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 |
|---|---|---|---|---|
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1285823062 | Kodiak Vision Clinic & Sally's Eyeland, Inc. | Optometrist | 214 W Rezanof Dr, Kodiak, AK 99615-6044 | 2007-10-17 |
| 1316015373 | Jerimiah L Myers | Optometrist | 214 W Rezanof, Ste 1, Kodiak, AK 99615 | 2006-11-30 |
| 1437158375 | Eyecare Excellence PC | Optometrist | 3450 E. Rezanof Dr., Kodiak, AK 99615-0827 | 2005-07-20 |
| 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 |
| 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 |
| 1124572805 | David Justin Holdgrafer | Optometrist | 155 Smith Way Ste 202, Soldotna, AK 99669-8060 | 2016-08-10 |
| 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.