PENINSULA EYE CLINIC, APC (NPI# 1730305509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730305509 |
| Entity Type | Organization |
| Organization Name | PENINSULA EYE CLINIC, APC |
| Other Organization Name | PETER E CANNAVA MD |
| Practice Address |
161 N Binkley St Suite 201 Soldotna AK 99669 |
| Practice Telephone | 9072624462 |
| Practice Fax Number | 9072623914 |
| Mailing Telephone | 9072624462 |
| Mailing Fax Number | 9072623914 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PETER E CANNAVA (OWNER) |
| Authorized Official Telephone | 9072624462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD1040 | 05 |
| Other Name | Type Code |
|---|---|
| Peter E Cannava MD | Other Name - Individual/Organization |
| Street Address |
161 N BINKLEY ST SUITE 201 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436071 | Gladys Bailon | Family Medicine | 161 N Binkley St, Suite 101, Soldotna, AK 99669-7521 | 2005-12-06 |
| 1003967753 | South Central Family Practice Clinic PC | Family Medicine | 161 N Binkley St, Suite 101, Soldotna, AK 99669 | 2007-01-16 |
| 1275545766 | Peter E Cannava | Ophthalmology | 161 N Binkley St, Ste 101, Soldotna, AK 99669 | 2006-08-12 |
| 1700827235 | Pedro E Perez | Family Medicine | 161 N Binkley St, Suite 101, Soldotna, AK 99669-7521 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275545766 | Peter E Cannava | Ophthalmology | 161 N Binkley St, Ste 101, Soldotna, AK 99669 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721146 | Alaska Childrens Eye and Strabismus LLC | Ophthalmology | 3500 Latouche Street, Suite 280, Anchorage, AK 99508 | 2013-11-22 |
| 1245678978 | Elaine Rose Mcelhinny | Ophthalmology | 3801 University Lake Dr Fl 2, Anchorage, AK 99508 | 2013-06-04 |
| 1689916470 | John Logan Bennion | Ophthalmology | 5955 Zeamer Ave # Dod-va, Jber, AK 99506-3702 | 2013-03-20 |
| 1629209143 | Olympia Eye Clinic, Inc., P.s. | Ophthalmology | 2841 Debarr Rd Bldg A, Suite 32, Anchorage, AK 99508-2958 | 2009-07-31 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| 1811005606 | Jan H Nyboer | Ophthalmology | 9350 Independence Dr, Anchorage, AK 99507 | 2006-08-29 |
| 1871606681 | Eric W Coulter | Ophthalmology | 235 E 8th Ave Ste 3a, Anchorage, AK 99501-3662 | 2006-08-16 |
| 1891701736 | Garret Lamendola Sitenga | Ophthalmology | 4381 E Hill Rd, Homer, AK 99603-8203 | 2006-07-31 |
| 1821045188 | Robert A Breffeilh | Ophthalmology | 3268 Hospital Dr Ste A, Ste A, Juneau, AK 99801 | 2006-05-30 |
| 1932151149 | Gordon R Preecs | Ophthalmology | 3268 Hospital Dr, Ste A, Juneau, AK 99801-7808 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PENINSULA EYE CLINIC, APC.
| 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.