1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Ophthalmology
  6. NPI Profile

MARVIN JOHN GRENDAHL MD A PROFESSIONAL CORP.
NPI 1063694750
Ophthalmology in Anchorage, AK

Active since December 04, 2007
3500 LATOUCHE ST STE 280, ANCHORAGE, AK 99508(907) 561-1917(907) 563-5373 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvin John Grendahl Md A Professional Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN JOHN GRENDAHL MD A PROFESSIONAL CORP. (NPI 1063694750) is a healthcare organization registered as an ophthalmology in Anchorage, Alaska and active in the NPI registry since December 2007. The organization lists Gail Leingang, Office Admin., as its authorized official.

NPPES Registry Identity

NPI1063694750
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARVIN JOHN GRENDAHL MD A PROFESSIONAL CORP.
Location Address3500 LATOUCHE ST STE 280Anchorage, AK 99508-4261
Mailing Address3500 Latouche St Ste 280Anchorage, AK 99508-4261 · (907) 561-1917 · Fax (907) 563-5373
Phone(907) 561-1917
Fax(907) 563-5373
Organization SubpartNo
Authorized OfficialGail LeingangOffice Admin. · (907) 561-1917
Enumeration DateDecember 4, 2007
Last NPPES UpdateNovember 22, 2011
✔ NPI 1063694750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in AK · MD1417✔ Licensed in AK · MD3686
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3500 LATOUCHE ST STE 280, Anchorage, AK 99508
Open in Google Maps ↗

Other Identifiers 3

MedicaidMD1417AK
Medicare PINKOOWFBMCAAK
Medicare UPINC97099AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD KEVIN WINKLE MD
Ophthalmology
3500 LATOUCHE ST STE 280
ANCHORAGE, AK 99508
Anchorage Municipality (907) 561-1917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin John Grendahl MD A Professional Corp.'s NPI number?

The NPI number for Marvin John Grendahl MD A Professional Corp. is 1063694750. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Marvin John Grendahl MD A Professional Corp. located?

Marvin John Grendahl MD A Professional Corp. is located at 3500 Latouche St Ste 280, Anchorage, AK 99508. The listed phone number is (907) 561-1917.

What is Marvin John Grendahl MD A Professional Corp.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Marvin John Grendahl MD A Professional Corp. was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.