SACH M. SUITT (NPI# 1679866958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679866958 |
Entity Type | Individual |
Full Name | SACH M. SUITT |
Credential | LDO |
Practice Address |
3561 E Tudor Rd Ste 8 Anchorage AK 99507-1200 |
Practice Telephone | 8004785510 |
Practice Fax Number | 8006374104 |
Mailing Telephone | 8004785510 |
Mailing Fax Number | 8006374104 |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
278 | AK | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | STATEOF ALASKA LICENSED DISPENSING OPTICIAN | 278 | 01 |
Street Address |
3561 E TUDOR RD STE 8 |
City | ANCHORAGE |
State | AK |
Zip Code | 99507-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942357785 | Jeff Powell | Technician/Technologist | 3561 E Tudor Rd Ste 8, Anchorage, AK 99507-1200 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
Find all providers in zip 99507 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1780737882 | Ray Blackford | Technician/Technologist | 3744 Lake Otis Pkwy, Anchorage, AK 99508-5208 | 2007-01-19 |
1942357785 | Jeff Powell | Technician/Technologist | 3561 E Tudor Rd Ste 8, Anchorage, AK 99507-1200 | 2007-01-04 |
1083036909 | William Michael Abrams | Technician/Technologist | 1515 E Tudor Rd, Suite 5, Anchorage, AK 99507-1035 | 2014-01-12 |
1265870141 | Mabelita S Camero | Technician/Technologist | 600 E Northern Lights Blvd, Suite L, Anchorage, AK 99503-4162 | 2013-06-12 |
1659612315 | Vision Plastics Usa Inc. | Technician/Technologist | 3500 Latouche St, Suite 100, Anchorage, AK 99508-4260 | 2013-03-06 |
1477722296 | Candelario Villanueva | Technician/Technologist | 3500 Latouche St, Suite 110, Anchorage, AK 99508-4209 | 2008-02-26 |
Find all providers in ANCHORAGE |
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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.