Healthcare Provider Details

I. General information

NPI: 1982814109
Provider Name (Legal Business Name): OPTIKA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E NORTHERN LIGHTS BLVD SUITE 175
ANCHORAGE AK
99503-4132
US

IV. Provider business mailing address

600 E NORTHERN LIGHTS BLVD SUITE 175
ANCHORAGE AK
99503-4132
US

V. Phone/Fax

Practice location:
  • Phone: 907-277-8431
  • Fax: 907-277-8724
Mailing address:
  • Phone: 907-277-8431
  • Fax: 907-277-8724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License NumberAA0082
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberAA0033
License Number StateAK

VIII. Authorized Official

Name: MS. MABELITA SIPIN CAMERO
Title or Position: PRESIDENT
Credential:
Phone: 907-277-8431