DR. JEREMY FULK (NPI# 1134571698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134571698 |
| Entity Type | Individual |
| Full Name | DR. JEREMY FULK |
| Practice Address |
116 Minnie St Fairbanks AK 99701-3006 |
| Practice Telephone | 9074567760 |
| Mailing Telephone | 9074567760 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 112293 | AK | Eye and Vision Services Providers |
| Street Address |
116 MINNIE ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164411930 | David James Peterson | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2005-10-14 |
| 1841807062 | Terry David Bell | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2020-10-01 |
| 1487921748 | Natalie Esilda Macke | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2011-11-30 |
| 1396034658 | Stanley R Fuller | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2011-04-06 |
| 1013232305 | Angela Lynn Hawk | Technician/Technologist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2010-03-30 |
| 1689903965 | Eye Clinic of Fairbanks, Inc | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2009-12-15 |
| 1316272032 | Richard Paul Mckinley | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2009-10-14 |
| 1669666905 | Joy Coon | Technician/Technologist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2007-08-29 |
| 1679678809 | Marvin R. Acquistapace | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2006-09-13 |
| 1902886716 | Randall W Christiansen | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947297 | Virginia R. Lind | Optometrist | 59 College Rd Ste 209, Fairbanks, AK 99701-1757 | 2007-06-03 |
| 1235354515 | West Valley Vision Center, Inc | Optometrist | 4169 Geist Rd, Fairbanks, AK 99709-3420 | 2007-04-13 |
| 1235252073 | W. Henry Macpherson | Optometrist | 537 Johansen Expressway, Walmart Vision Center, Fairbanks, AK 99701 | 2007-04-09 |
| 1093874182 | Augusta Ann Plassmann King | Optometrist | 1521 Stacia St, Unit B, Fairbanks, AK 99701-6135 | 2006-12-06 |
| 1235298134 | Barbara M Keys | Optometrist | 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 | 2006-12-06 |
| 1558453753 | Virginia R Lind & Ronald L Lind Lind Virginia R Gen Ptr | Optometrist | 59 College Road, Suite 209, Fairbanks, AK 99701-1757 | 2006-09-28 |
| 1114935616 | Anita Mullins | Optometrist | 201 Old Steese Hwy Ste 2, Fairbanks, AK 99701-3160 | 2006-08-03 |
| 1568478782 | William Matthew Riley | Optometrist | 1867 Airport Way Ste 150a, Fairbanks, AK 99701-4061 | 2006-07-31 |
| 1164411930 | David James Peterson | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2005-10-14 |
| 1841807062 | Terry David Bell | Optometrist | 116 Minnie St, Fairbanks, AK 99701-3006 | 2020-10-01 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.