JEFFREY K CHAULK MD PC


Address: 350 W North St, Gaylord, MI 49735-1525
Phone: 9897326455

JEFFREY K CHAULK MD PC (NPI# 1215065727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215065727
Entity Type Organization
Organization Name JEFFREY K CHAULK MD PC
Other Organization Name ALPINE EYE CARE
Practice Address 350 W North St
Gaylord
MI 49735-1525
Mailing Address Po Box 1665
Gaylord
MI 49734-5665
Practice Telephone 9897326455
Practice Fax Number 9897321102
Mailing Telephone 9897326455
Mailing Fax Number 9897321102
Enumeration Date 2007-02-28
Last Update Date 2010-07-20
Authorized Official Name JEFFREY K CHAULK (OWNER)
Authorized Official Telephone 9897326455
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 4901003939 MI Eye and Vision Services Providers
N 207W00000X Ophthalmology 5101016992 MI Allopathic & Osteopathic Physicians
N 152W00000X Optometrist 4901004074 MI Eye and Vision Services Providers
Y 207W00000X Ophthalmology 4301405077 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CARE NETWORK 1806920011 01
MI BCBS OD 180F910770 01
MI BCBS 1806920011 01
MI 3038315 05
MI BCBS MD 180F910760 01
MI BCBS 900F910770 01
MI RAILROAD MEDICARE CJ0562 01
MI BLUE CARE NETWORK 900F910770 01

Other Provider/Organization Names

Other Name Type Code
Alpine Eye Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558557454 Jeffrey K Chaulk Md PC Optometrist 1200 N Down River Rd, Grayling, MI 49738 2007-09-25
1902093701 Jeffrey K Chaulk Md PC Optometrist 810 S Main St, Suite 3, Cheboygan, MI 49721-2290 2007-09-26

Office Location

Street Address 350 W NORTH ST
City GAYLORD
State MI
Zip Code 49735-1525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710925334 Jeffrey Kenneth Chaulk Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2006-06-04
1205212131 Roxanne Rottiers Optometrist 350 W North St, Gaylord, MI 49735-1525 2015-08-03
1437470325 Michael Louis Habryl Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2010-06-15
1407984909 Joseph William Doe Iv Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2007-02-28
1275611246 William Roy Shouldice Optometrist 350 W North St, Gaylord, MI 49735-1525 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447453 Jenni Kirt Social Worker 407 I-75 Bus N, Gaylord, MI 49735 2020-11-05
1922584986 Patricia Dovalina Behavior Technician 2285 Michaywe Dr, Otsego Lake, MI 49735 2018-07-12
1265944581 James Hulbert Social Worker 407 W Main Street, Gaylord, MI 49735 2017-10-26
1548792625 Somer Lawes Behavior Technician 2443 Castlewood Dr, Gaylord, MI 49735 2017-03-29
1922554161 Mark David Mcpherson Counselor 2136 West M-32, Gaylord, MI 49735 2016-08-28
1689063034 Liza Brandt Behavioral Analyst 6748 Colonial Ct, Gaylord, MI 49735 2015-01-22
1942597224 Visions for Your Community Care Hhc Home Health 2365 N Perch Lake Dr, Gaylord, MI 49735 2011-07-07
1073778304 Julie Lynn Vandusen Community Health Worker 5512 Clubhouse Trail, Gaylord, MI 49735 2008-07-25
1073708798 Alpine Chiropractic, PC Chiropractor 529 S. Wisconsin Ave, Gaylord, MI 49735 2007-09-06
1669675567 Oral and Maxillofacial Surgery Associates Dentist 785 E M32, Gaylord, MI 49735 2007-06-07
Find all providers in zip 49735

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710925334 Jeffrey Kenneth Chaulk Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2006-06-04
1437470325 Michael Louis Habryl Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2010-06-15
1407984909 Joseph William Doe Iv Ophthalmology 350 W North St, Gaylord, MI 49735-1525 2007-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894429 Ryan Freedman Ophthalmology 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-08
1457973018 Neha Gupta Ophthalmology 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 2020-05-17
1003437823 Great Lakes Eye Institute Ophthalmology 800 Woodside Ave, Bay City, MI 48708-5468 2020-05-04
1447899273 Legacy Eye Institute Plc Ophthalmology 811 East Street, Lapeer, MI 48446-3033 2019-12-26
1013471515 Marshall Ophthalmology, Pllc Ophthalmology 16468 Emily Corlett, Marshall, MI 49068-8323 2019-01-29
1023583564 Rochester Ophthalmology, Pllc Ophthalmology 1135 W University Dr Ste 155, Rochester, MI 48307-1871 2018-10-11
1205301983 Grand Blanc Opthalmology Ophthalmology 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 2018-10-09
1548756141 Marko Habekovic Md, Pllc Ophthalmology 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 2018-07-06
1487189254 Yaldo Eye Centers PC Ophthalmology 31535 Ford Rd, Garden City, MI 48135-1821 2017-04-28
1366895005 Black & White Look Optical Corp Ophthalmology 15675 W 10 Mile Rd, Southfield, MI 48075-2188 2016-07-18
Find all providers with the same taxonomy

Competitor

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City GAYLORD
Zip Code 49735

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Dataset Information

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.

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