Provider Demographics
NPI:1982814109
Name:OPTIKA INC.
Entity Type:Organization
Organization Name:OPTIKA INC.
Other - Org Name:ANCHORAGE OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MABELITA
Authorized Official - Middle Name:SIPIN
Authorized Official - Last Name:CAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-277-8431
Mailing Address - Street 1:600 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4132
Mailing Address - Country:US
Mailing Address - Phone:907-277-8431
Mailing Address - Fax:907-277-8724
Practice Address - Street 1:600 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4132
Practice Address - Country:US
Practice Address - Phone:907-277-8431
Practice Address - Fax:907-277-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA0082156FC0801X
AKAA0033156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty