LATITUDE 61 EYECARE, LLC (NPI# 1811487150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811487150 |
| Entity Type | Organization |
| Organization Name | LATITUDE 61 EYECARE, LLC |
| Practice Address |
5800 Westover Ave Jber AK 99506-1603 |
| Mailing Address |
7899 State Route 21 Hornell NY 14843-9669 |
| Practice Telephone | 9077537515 |
| Mailing Telephone | 6052000930 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | DR. LORETTA MARIE FLAITZ (OPTOMETRIST) |
| Authorized Official Telephone | 6052000930 |
| Authorized Official Credential | OD, MBA, FAAO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | AK | Eye and Vision Services Providers |
| Street Address |
5800 WESTOVER AVE |
| City | JBER |
| State | AK |
| Zip Code | 99506-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285017194 | Raul Angeles Jr. | Optometrist | 5800 Westover Ave, Jber, AK 99506-1603 | 2015-07-09 |
| 1073907614 | Nathan Greene | Physician Assistant | 5800 Westover Ave, #258, Jber, AK 99506-1603 | 2015-03-21 |
| 1629481486 | 673rd Medical Group Joint Base Elmendorf-richardson Jber | Military/U.S. Coast Guard Pharmacy | 5800 Westover Ave, Jber, AK 99506-1603 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| 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 |
|---|---|---|---|---|
| 1386088011 | Ronald M Kichura Od LLC | Optometrist | 5953 Zeamer Ave, Jber, AK 99506-3702 | 2013-04-24 |
| 1407160377 | Christopher Hay Caldwell | Optometrist | Jber Scmh, Bldg 786, Optometry, Jber, AK 99505 | 2010-08-03 |
| 1992952048 | Alex C Kwon | Optometrist | 673 Amds 5955 Zeamer Ave, Jber, AK 99506 | 2008-08-20 |
| 1235624008 | Nicole Elizabeth Nowling | Optometrist | 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | 2018-06-25 |
| 1285017194 | Raul Angeles Jr. | Optometrist | 5800 Westover Ave, Jber, AK 99506-1603 | 2015-07-09 |
| 1962681171 | Matthew Sabo Ubedei | Optometrist | 5955 Zeamer Avenue, 673 Mdg, Jber, AK 99506 | 2007-10-24 |
| 1295874907 | Gretchen D Ariz | Optometrist | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | 2007-02-06 |
| 1427047893 | Tara M Mayer | Optometrist | 5955 Zeamer Ave, Jber, AK 99506 | 2005-10-19 |
| 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 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 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 |
| 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.