Provider Demographics
NPI:1871573485
Name:ALASKA EYE CARE CENTERS, APC
Entity type:Organization
Organization Name:ALASKA EYE CARE CENTERS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-272-2557
Mailing Address - Street 1:1345 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3219
Mailing Address - Country:US
Mailing Address - Phone:907-272-2557
Mailing Address - Fax:907-274-4932
Practice Address - Street 1:1345 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3219
Practice Address - Country:US
Practice Address - Phone:907-272-2557
Practice Address - Fax:907-274-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1023330Medicaid
AK1992035653OtherJOSHUA COOKS MEDICARE
AK1023200Medicaid
AK1023272Medicaid
AK1023433Medicaid
AK1023262Medicaid
AK1031743Medicaid
AK1235321118OtherIAN FORDS MEDICARE
AK1617811Medicaid
AK1023413Medicaid
AK1685623Medicaid
AK1023238Medicaid
AK1031743Medicaid
AK1104811488OtherMARILYN HOLMS MEDICARE
AKU47008Medicare UPIN
AK00WCKFRHMedicare ID - Type UnspecifiedSHERYL LENTFER'S MEDICARE
AKK0000WCKFRMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
AK150635Medicare ID - Type UnspecifiedJAMES FALCONER'S MEDICARE
AK1583061Medicaid
AK1023238Medicaid
AK00WCKFRGMedicare ID - Type UnspecifiedPATRICK REBER'S MEDICARE
AK1023330Medicaid
AK1023433Medicaid
AKU06513Medicare UPIN
AK1023268Medicaid