OrganizationActive
The Villiage Store Inc
NPI 1659400596 · Optometrist · Fairbanks, AK
The Villiage Store Inc is a Optometrist organization in Fairbanks, AK (NPI 1659400596).
Provider details
- NPI number
- 1659400596
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- James Graves, President Owner(907) 474-8695
- License
- 97 (AK)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3455 Rewak Dr
Suite 102
Fairbanks, AK 99709
Phone: (907) 474-8695
Fax: (907) 474-8727
Street-level locationGet directions
Mailing address
3455 Rewak Dr
Fairbanks, AK 99709
Other names (DBA / former)
- Doing business as
- Fairbanks Optometric Center
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is The Villiage Store Inc's NPI number?
- The Villiage Store Inc's National Provider Identifier (NPI) is 1659400596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Villiage Store Inc?
- The Villiage Store Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is The Villiage Store Inc located?
- The Villiage Store Inc's practice location on file with NPPES is 3455 Rewak Dr, Fairbanks, AK 99709.
- What is The Villiage Store Inc's phone number?
- The practice phone number listed in the NPPES registry for The Villiage Store Inc is (907) 474-8695.
- Who is the authorized official for The Villiage Store Inc?
- The authorized official listed on The Villiage Store Inc's NPPES record is James Graves, President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Villiage Store Inc's NPI active?
- Yes — The Villiage Store Inc's NPI (1659400596) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.