OrganizationActive
Optical Center
NPI 1407125123 · Optician · Eielson, AK
Provider details
- NPI number
- 1407125123
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Parent organization
- National Vision, Inc.
- Organization subpart
- Yes
- Authorized official
- Susan Edick, Mc Asst(678) 892-3774
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
451 Broadway Street
Eielson Afb Aafes Exchange
Eielson, AK 99702
Phone: (907) 372-5106
Street-level locationGet directions
Mailing address
296 Grayson Hwy
Lawrenceville, GA 30046-5737
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2012-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.