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EYECARE EXCELLENCE A PROFESSIONAL CORPORATION
NPI 1437158375
Optometrist in Kodiak, AK

Active since July 20, 2005CLIA 02D2038193 · Waiver
3450 E. REZANOF DR., KODIAK, AK 99615(907) 486-5504(907) 486-6577 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2021, Jan 4, 2021 (2 updates tracked since 2021).

About Eyecare Excellence A Professional Corporation NPPES

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

EYECARE EXCELLENCE A PROFESSIONAL CORPORATION (NPI 1437158375) is a healthcare organization registered as an optometrist in Kodiak, Alaska and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Desiree Wheeler, Owner, as its authorized official.

NPPES Registry Identity

NPI1437158375
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYECARE EXCELLENCE A PROFESSIONAL CORPORATION
Location Address3450 E. REZANOF DR.Kodiak, AK 99615-0827
Mailing Address3450 E Rezanof DrKodiak, AK 99615-6953 · (907) 486-5504 · Fax (907) 486-6577
Phone(907) 486-5504
Fax(907) 486-6577
Organization SubpartNo
Authorized OfficialDesiree WheelerOwner · (907) 486-5504
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1437158375 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 · 00070
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.
3450 E. REZANOF DR., Kodiak, AK 99615
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Other Identifiers 1

Medicaid1031738AK

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

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 02D2038193

Eyecare Excellence PC · Kodiak, AK
Active · expires Mar 13, 2028
CLIA Number02D2038193
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorDesiree Wheeler
Laboratory Phone(907) 486-5504
Laboratory LocationEyecare Excellence PC3450 E Rezanof Dr, Kodiak, AK 99615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOHN SHANK OD
Optometrist
3450 E. REZANOF DR.
KODIAK, AK 99615
Kodiak Island Borough (907) 486-5504

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 Eyecare Excellence A Professional Corporation's NPI number?

The NPI number for Eyecare Excellence A Professional Corporation is 1437158375. It was assigned to this organization in the NPPES registry on July 20, 2005.

Where is Eyecare Excellence A Professional Corporation located?

Eyecare Excellence A Professional Corporation is located at 3450 E. Rezanof Dr., Kodiak, AK 99615. The listed phone number is (907) 486-5504.

What is Eyecare Excellence A Professional Corporation's specialty?

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

Does Eyecare Excellence A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2038193) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eyecare Excellence A Professional Corporation was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.