BRADLEY T CROSS OD PC (NPI# 1790022978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790022978 |
| Entity Type | Organization |
| Organization Name | BRADLEY T CROSS OD PC |
| Practice Address |
44332 Sterling Hwy Ste 52 Soldotna AK 99669-8065 |
| Mailing Address |
35605 K Beach Rd Kenai AK 99611-8770 |
| Practice Telephone | 9072609199 |
| Practice Fax Number | 9072609189 |
| Mailing Telephone | 6782347869 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BRADLEY T CROSS (OWNER) |
| Authorized Official Telephone | 9072609199 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
326 | AK | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44332 Sterling Hwy, Suite 18, Soldotna, AK 996698066 | 9072609199 |
| Street Address |
44332 STERLING HWY STE 52 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8065 |
| 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 | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659583383 | Yukon Kuskokwim Health Corp | Optometrist | 829 Chief Eddie Hoffman Hwy., Ste 340, Bethel, AK 99559 | 2007-05-04 |
| 1669463923 | Hal E Hagge | Optometrist | 10928 Eagle River Rd, Ste.# 102, Eagle River, AK 99577-8038 | 2005-11-03 |
| 1669716197 | Hubclub LLC | Optometrist | 3755 Airport Way, Fairbanks, AK 99709-4610 | 2012-11-21 |
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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.