Southside Eyecare, LLC
NPI 1245403377 · Optometrist · Anchorage, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Eyecare, LLC is a Optometrist organization in Anchorage, AK (NPI 1245403377).
Provider details
- NPI number
- 1245403377
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Angie Benavides, Office Administrator(907) 561-1167
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Southside Eyecare, LLC's NPI number?
- Southside Eyecare, LLC's National Provider Identifier (NPI) is 1245403377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Eyecare, LLC?
- Southside Eyecare, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Southside Eyecare, LLC located?
- Southside Eyecare, LLC's practice location on file with NPPES is 9350 Independence Dr, Anchorage, AK 99507-4613.
- What is Southside Eyecare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Eyecare, LLC is (907) 561-1167.
- Does Southside Eyecare, LLC accept Medicare?
- Southside Eyecare, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Eyecare, LLC?
- The authorized official listed on Southside Eyecare, LLC's NPPES record is Angie Benavides, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Eyecare, LLC's NPI active?
- Yes — Southside Eyecare, LLC's NPI (1245403377) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.