KAREN SHIRA (NPI# 1528039336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528039336 |
| Entity Type | Individual |
| Full Name | KAREN SHIRA |
| Credential | OP |
| Practice Address |
1919 Lathrop St Suite 103 Fairbanks AK 99701 |
| Mailing Address |
Po Box 241769 Anchorage AK 99524-1769 |
| Practice Telephone | 8004784091 |
| Practice Fax Number | 9074517184 |
| Mailing Telephone | 9097702380 |
| Mailing Fax Number | 9097702390 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DOP D 44 | AK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DEPT OF LABOR GROUP | 0194434 | 01 |
| AK | OP0593 | 05 | |
| AK | BLUE CROSS | A0330 | 01 |
| Street Address |
1919 LATHROP ST SUITE 103 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774299 | Letha C Archer | Pediatrics | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5937 | 2005-07-18 |
| 1245708668 | Tanana Valley Clinic LLC | Clinic/Center | 1919 Lathrop St, Fairbanks, AK 99701-5937 | 2018-11-03 |
| 1275084626 | Jeffrey W. Kilgore Dmd PC | Dentist | 1919 Lathrop St, Ste: 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1992256341 | Otter Dental | Dentist | 1919 Lathrop St, Suite 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1467909218 | Rebecca Rengel | Physical Therapist | 1919 Lathrop St, Ste 123, Fairbanks, AK 99701-5937 | 2016-09-08 |
| 1538613203 | Brent Little | Physical Therapist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2016-08-10 |
| 1396298626 | Nicholas Nzioka Ndetti Jr. | Pharmacist | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2016-08-03 |
| 1366829699 | Karolina Priebe | Nurse Practitioner | 1919 Lathrop St, Suite 101, Fairbanks, AK 99701-5937 | 2015-05-06 |
| 1124405618 | David Boyd | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2015-05-04 |
| 1679903140 | Heidi Wood | Physical Therapist | 1919 Lathrop St, #123, Fairbanks, AK 99701-5937 | 2013-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1093920670 | Christi Lb Mcwilliams | Technician/Technologist | 29 College Rd Ste 14, Fairbanks, AK 99701-1739 | 2007-05-14 |
| 1396254108 | Vicki Jean Needels | Technician/Technologist | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-09-25 |
| 1013232305 | Angela Lynn Hawk | Technician/Technologist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2010-03-30 |
| 1104154079 | Golden North Optics, Inc | Technician/Technologist | 1521 Stacia St, Fairbanks, AK 99701-6135 | 2009-12-03 |
| 1669666905 | Joy Coon | Technician/Technologist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2007-08-29 |
| 1295929537 | Robin Marquiss | Technician/Technologist | 1001 Noble St, Suite 410, Fairbanks, AK 99701-4922 | 2007-08-29 |
| 1023226362 | Image Optical, Inc | Technician/Technologist | 1867 Airport Way, Suite 100, Fairbanks, AK 99701-4007 | 2007-05-18 |
| 1669556981 | Wal-mart Stores, Inc | Technician/Technologist | 537 Johansen Expy, Fairbanks, AK 99701-3165 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588021232 | Optical Matchmakers/home Optics LLC | Technician/Technologist | 11723 Old Glenn Hwy Ste 201, Eagle River, AK 99577-7750 | 2016-01-26 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1225307945 | Optical Center | Technician/Technologist | Ft. Wainwright Aafes Exchange, Bldg 3703, Oak St., Ft. Wainwright, AK 99703 | 2011-12-27 |
| 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 |
| 1871755801 | Josephine Arciaga Sangster | Technician/Technologist | 1905 Mendenhall Mall Road, Suite 357, Juneau, AK 99801 | 2008-07-01 |
| 1285891309 | Richard Edd White | Technician/Technologist | 8745 Glacier Hwy Ste 426, Juneau, AK 99801-8092 | 2008-05-16 |
| 1780737882 | Ray Blackford | Technician/Technologist | 3744 Lake Otis Pkwy, Anchorage, AK 99508-5208 | 2007-01-19 |
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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.