BRISTOL BAY AREA HEALTH CORPORATION VISION GROUP
NPI 1154551588
Optometrist in Dillingham, AK

Active since July 20, 2009
6000 KANAKANAK RD, DILLINGHAM, AK 99576(907) 842-9201(907) 842-9203 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bristol Bay Area Health Corporation Vision Group NPPES

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

BRISTOL BAY AREA HEALTH CORPORATION VISION GROUP (NPI 1154551588) is a healthcare organization registered as an optometrist in Dillingham, Alaska and active in the NPI registry since July 2009. The organization lists Robert J Clark, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154551588
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRISTOL BAY AREA HEALTH CORPORATION
Location Address6000 KANAKANAK RDDillingham, AK 99576
Mailing AddressPo Box 130Dillingham, AK 99576 · (907) 842-9203 · Fax (907) 842-9201
Fax(907) 842-9203
Organization SubpartYes
Authorized OfficialRobert J ClarkChief Executive Officer · (907) 842-5201
Enumeration DateJuly 20, 2009
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1154551588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
6000 KANAKANAK RD, Dillingham, AK 99576

Other Names 1

Doing Business AsBristol Bay Area Health Corporation Vision Group

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bristol Bay Area Health Corporation Vision Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

358

Medicare enrollment records show 358 clinicians reassign Medicare billing to Bristol Bay Area Health Corporation Vision Group, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Family Practice76
Nurse Practitioner68
Diagnostic Radiology50
Clinical Social Worker29
Emergency Medicine24
Otolaryngology13
General Surgery11
Optometry10
16 other specialties77

Nearest to this location (20)

See all 358
Family Practice
NPI 1205876448
6000 KANAKANAK RD
Dillingham, AK 99835
(907) 842-5201
✔ PECOSSame address
Family Practice
NPI 1821401423
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1841441086
6000 KANAKANAK ROAD
Dillingham, AK 99576
(907) 842-5201
Same address
Family Practice
NPI 1962842856
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOSSame address
Clinical Social Worker
NPI 1639055312
6000 KANAKANAK ROAD PO BOX 130
Dillingham, AK 99576
(907) 842-1230
✔ PECOSSame address
Family Practice
NPI 1427542828
6000 KANAKANAK ROAD
Dillingham, AK 99576
(907) 842-5201
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1538482054
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 749-4113
Same address
Pediatric Medicine
NPI 1467679118
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOSSame address
Family Practice
NPI 1952388449
6000 KANAKANK
Dillingham, AK 99576
(907) 842-9217
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386834125
6000 KANAKANAK ROAD S
Dillingham, AK 99576
(907) 842-5201
✔ PECOSSame address
Family Practice
NPI 1225012628
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOSSame address
Family Practice
NPI 1760465181
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOSSame address
Optometry
NPI 1720722879
6000 KANAKANAK RD
Dillingham, AK 99576
(800) 478-5201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1962485276
6000 KANAKANAK RD MEDICAL STAFF DEPARTMENT
Dillingham, AK 99576
(907) 842-9218
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558301796
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-9217
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1669457362
6000 KANAKANAK ROAD
Dillingham, AK 99576
(907) 842-9200
✔ Accepts MedicareSame address
Family Practice
NPI 1710961172
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-5201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619317203
6000 KANAKANAK RD
Dillingham, AK 99576
(907) 842-9218
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427099043
6000 KANAKANAK RD. MEDICAL STAFF DEPARTMENT
Dillingham, AK 99576
(907) 842-5201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962162131
6000 KANAKANAK ROAD SUITE 130
Dillingham, AK 99576
(907) 843-1044
✔ PECOSSame address
See all 358 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bristol Bay Area Health Corporation's NPI number?

The NPI number for Bristol Bay Area Health Corporation is 1154551588. It was assigned to this organization in the NPPES registry on July 20, 2009. The provider is doing business as Bristol Bay Area Health Corporation Vision Group.

Where is Bristol Bay Area Health Corporation located?

Bristol Bay Area Health Corporation is located at 6000 Kanakanak Rd, Dillingham, AK 99576. The listed phone number is (907) 842-9201.

What is Bristol Bay Area Health Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bristol Bay Area Health Corporation enrolled in Medicare?

Yes. Bristol Bay Area Health Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bristol Bay Area Health Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 358 clinicians in 24 Medicare specialties reassign their Medicare billing to Bristol Bay Area Health Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (76), Nurse Practitioner (68) and Diagnostic Radiology (50). Of these, 20 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bristol Bay Area Health Corporation was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.