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WEST VALLEY VISION CENTER, INC
NPI 1235354515
Optometrist in Fairbanks, AK

Active since April 13, 2007CLIA 02D2052513 · Waiver
4169 GEIST RD, FAIRBANKS, AK 99709(907) 479-4700(907) 457-5596 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Valley Vision Center, Inc NPPES

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

WEST VALLEY VISION CENTER, INC (NPI 1235354515) is a healthcare organization registered as an optometrist in Fairbanks, Alaska and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Jamie Boyle, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235354515
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWEST VALLEY VISION CENTER, INC
Location Address4169 GEIST RDFairbanks, AK 99709-3420
Mailing Address570 Riverstone Way, Suite 3Fairbanks, AK 99709-2939 · (907) 479-4700 · Fax (907) 457-5596
Phone(907) 479-4700
Fax(907) 457-5596
Organization SubpartNo
Authorized OfficialJamie BoyleOffice Manager · (907) 479-4700
Enumeration DateApril 13, 2007
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1235354515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AK · A160
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.
4169 GEIST RD, Fairbanks, AK 99709
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2052513

West Valley Vision Center, Inc · Fairbanks, AK
Active · expires Jan 10, 2027
CLIA Number02D2052513
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorDr. Michael Mavencamp
Laboratory Phone(907) 479-4700
Laboratory LocationWest Valley Vision Center, Inc4169 Geist Rd, Fairbanks, AK 99709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Valley Vision Center, Inc's NPI number?

The NPI number for West Valley Vision Center, Inc is 1235354515. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is West Valley Vision Center, Inc located?

West Valley Vision Center, Inc is located at 4169 Geist Rd, Fairbanks, AK 99709. The listed phone number is (907) 479-4700.

What is West Valley Vision Center, Inc's specialty?

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

Does West Valley Vision Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2052513) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Valley Vision Center, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list West Valley Vision Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Valley Vision Center, Inc was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.