MEDICARE: NOVA EYECARE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	206	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205117975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA EYECARE CENTER, LLC

Provider Business Mailing Address
First Line	:	450 E TUDOR RD
Second Line	:	SUITE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-7370
Country	:	US
Telephone Number	:	907-274-7825
Fax Number	:	907-274-7826

Provider Business Practice Location Address
First Line	:	2600 DENALI ST
Second Line	:	SUITE 603
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2746
Country	:	US
Telephone Number	:	907-274-7825
Fax Number	:	907-274-7826

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. NHAN THANH TRAN
Credential	:	O.D.
Telephone Number	:	907-274-7825

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	01/12/2017

Similar Medicare Providers

1700865029 — DR. KRISTI H FULLER PHD, ABPP-CN
Practice Location Address:

2600 DENALI ST , SUITE 450
ANCHORAGE, AK
99503-2746

Practice Phone: 907-561-0552
Practice Fax: 907-561-0562

1548289846 — DAVID R SAMSON M.D., DLFAPA
Practice Location Address:

2600 DENALI ST , SUITE 606
ANCHORAGE, AK
99503-2746

Practice Phone: 907-276-2978
Practice Fax:

1578572947 — RICHARD DANIEL FULLER PHD
Practice Location Address:

2600 DENALI ST , SUITE 450
ANCHORAGE, AK
99503-2746

Practice Phone: 907-561-0552
Practice Fax: 907-561-0562

1326152711 — FULLER DIAGNOSTICS, LLC
Practice Location Address:

2600 DENALI ST , SUITE 450
ANCHORAGE, AK
99503-2746

Practice Phone: 907-561-0552
Practice Fax: 907-561-0562

1558438853 — MR. DENNIS F PATELLA LCSW
Practice Location Address:

2600 DENALI ST , SUITE 610
ANCHORAGE, AK
99503-2746

Practice Phone: 907-561-2868
Practice Fax: 907-561-2868

1841415320 — PSYCHOLOGY RESOURCES, PC
Practice Location Address:

2600 DENALI ST , SUITE 302
ANCHORAGE, AK
99503-2746

Practice Phone: 907-272-4407
Practice Fax: 907-272-4463

1811169634 — ROBERT THOMAS ROSELIUS O.D.
Practice Location Address:

2600 DENALI ST , SUITE 603
ANCHORAGE, AK
99503-2746

Practice Phone: 907-274-7825
Practice Fax:

Directions to “NOVA EYECARE CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.