RAY BLACKFORD (NPI# 1780737882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780737882 |
| Entity Type | Individual |
| Full Name | RAY BLACKFORD |
| Credential | OPTICIAN |
| Practice Address |
3744 Lake Otis Pkwy Anchorage AK 99508-5208 |
| Practice Telephone | 9075635118 |
| Practice Fax Number | 9075617140 |
| Mailing Telephone | 9075635118 |
| Mailing Fax Number | 9075617140 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
47 | AK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DISPENSING OPTICIAN LICEN | OP1147 | 01 |
| Street Address |
3744 LAKE OTIS PKWY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528188596 | Dewayne Halverson | Optometrist | 3744 Lake Otis Pkwy, Anchorage, AK 99508-5208 | 2007-03-31 |
| 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 |
| 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 |
| 1477722296 | Candelario Villanueva | Technician/Technologist | 3500 Latouche St, Suite 110, Anchorage, AK 99508-4209 | 2008-02-26 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on RAY BLACKFORD.
| 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.