ERIC NOLL (OD) – Optometrist, NPI 1174864904

ERIC NOLL (OD) is a healthcare provider. based in Eielson afb, Alaska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 116944 (AK). The NPI Number for ERIC NOLL (OD) is 1174864904

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ERIC NOLL (OD)
NPI
1174864904
Phone
(907) 377-1847
Address
2630 CENTRAL AVE # 3349
Enumeration Date
4 March 2013
Last Update Date
3 July 2018

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9076942020
Graduation Year
2013 (13 years ago)
PAC ID
6800178989
Group Practice PAC ID
4284049354
Professional Enrollment ID
I20170125001568
Address ID
AK996156044KO214XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

146 OPTOMETRY in AK

Provider Addresses for ERIC NOLL (OD)

  • 2630 CENTRAL AVE # 3349

    EIELSON AFB, AK 99702

    Phone: (907) 377-1847

    Type: Location

  • 112 Dark Hollow Rd

    Duncannon, PA 170209744

    Phone: (717) 307-5761

    Type: Location

  • 2555 Phillips Field Rd

    Fairbanks, AK 997093933

    Phone: (907) 328-2920

    Fax: (907) 456-2914

    Type: Location

  • 112 DARK HOLLOW RD

    DUNCANNON, PA 170209744

    Phone: (717) 307-5761

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $293.

Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($203).

Total Amount

$293

General + Research + Ownership

Payments

8

Total payment records

General Amount

$293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170125001568IOptometryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes120114$0
99213Established patient office or other outpatient visit, 20-29 minutes10275$0
92134Imaging of retina5447$0
92083Exam of visual field with extended testing5244$0
92133Imaging of optic nerve4947$0
View full utilization report →

Insurance plans in this area (ZIP 99702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284049354View full group profile
NameSpecialtyState
O P T O M E T R YMS
O P T O M E T R YAK
O P T O M E T R YAK
O P T O M E T R YAK

Reviews

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Frequently asked questions

What identifier follows ERIC NOLL (OD) across health systems?
The NPI 1174864904 uniquely identifies ERIC NOLL (OD) in U.S. healthcare data.
Is ERIC NOLL (OD) currently accepting referrals based on NPI status?
Registry metadata lists ERIC NOLL (OD) as active.
What services align with ERIC NOLL (OD)'s listing?
ERIC NOLL (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit ERIC NOLL (OD) in Eielson Afb, Alaska?
For routing, start with Eielson Afb, Alaska for ERIC NOLL (OD), then verify phone and hours locally.
Can I export ERIC NOLL (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.