MR. CARL CONRAD SEUTTER IV (NPI# 1720284045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720284045 |
| Entity Type | Individual |
| Full Name | MR. CARL CONRAD SEUTTER IV |
| Credential | LDO |
| Practice Address |
1000 E Northern Lights Blvd Anchorage AK 99508-4218 |
| Mailing Address |
2111 Grizzly Bear Dr Wasilla AK 99654-2721 |
| Practice Telephone | 9072798651 |
| Mailing Telephone | 9073769311 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
211 | AK | Eye and Vision Services Providers |
| Street Address |
1000 E NORTHERN LIGHTS BLVD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294436 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2006-05-22 |
| 1851845374 | James Upson | Pharmacist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2016-08-12 |
| 1578938825 | Andrew Clavelot | Pharmacist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2015-12-10 |
| 1386073591 | Michelle Smith | Pharmacist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2013-11-07 |
| 1841564317 | Hye Jin Lee | Pharmacist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2012-03-01 |
| 1649544123 | Kenneth L Dazey | Pharmacist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2012-03-01 |
| 1689795304 | Brannon Mills | Optometrist | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2007-04-02 |
| 1518903475 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 1000 E Northern Lights Blvd, Anchorage, AK 99508-4218 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
| 1679866958 | Sach M. Suitt | Technician/Technologist | 3561 E Tudor Rd Ste 8, Anchorage, AK 99507-1200 | 2011-05-19 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on MR. CARL CONRAD SEUTTER IV.
| 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.