JEFFREY K CHAULK MD PC (NPI# 1558557454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558557454 |
| Entity Type | Organization |
| Organization Name | JEFFREY K CHAULK MD PC |
| Other Organization Name | ALPINE EYE CARE |
| Practice Address |
1200 N Down River Rd Grayling MI 49738 |
| Mailing Address |
Po Box 1665 Gaylord MI 49734-5665 |
| Practice Telephone | 9893488689 |
| Practice Fax Number | 9893486462 |
| Mailing Telephone | 9897326455 |
| Mailing Fax Number | 9897321102 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. JEFFREY K CHAULK (OWNER) |
| Authorized Official Telephone | 9897326455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4901004074 | MI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901003939 | MI | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | 4301081575 | MI | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 4301405077 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3038306 | 05 |
| Other Name | Type Code |
|---|---|
| Alpine Eye Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902093701 | Jeffrey K Chaulk Md PC | Optometrist | 810 S Main St, Suite 3, Cheboygan, MI 49721-2290 | 2007-09-26 |
| 1215065727 | Jeffrey K Chaulk Md PC | Optometrist | 350 W North St, Gaylord, MI 49735-1525 | 2007-02-28 |
| Street Address |
1200 N DOWN RIVER RD |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| 1992873780 | Grayling Dental PC | Dentist | 604 Galen Street, Grayling Dental PC, Grayling, MI 49738 | 2006-12-01 |
| Find all providers in zip 49738 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| 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 | ||||
Please comment or provide details below to improve the information on JEFFREY K CHAULK MD PC.
| 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.