Jeremy Cole Fulk (NPI# 1134571698, PAC ID# 0941595888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134571698 |
| PAC ID by PECOS | 0941595888 |
| Professional Enrollment ID | I20160817000881 |
| Full Name | Jeremy Cole Fulk |
| Organization Legal Name | EYE CLINIC OF FAIRBANKS INC |
| Address |
116 Minnie St Fairbanks AK 99701-3006 |
| Phone Number | 9074567760 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7719878370 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020012 | FAIRBANKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 Minnie St, Fairbanks, AK 99701-3006 | 9074567760 | EYE CLINIC OF FAIRBANKS INC |
| Organization Legal Name | EYE CLINIC OF FAIRBANKS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Stanley R Fuller | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Ronald W Zamber | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Larry Coon | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Street Address |
116 MINNIE ST |
| City | FAIRBANKS |
| State | AK |
| Zip | 99701-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Stanley R Fuller | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Ronald W Zamber | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Larry Coon | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Davis | Chiropractic | 1018 College Rd, Fairbanks, AK 99701-1557 | |
| William A Tewson | Chiropractic | 29 College Rd, 8b1, Fairbanks, AK 99701-1739 | |
| Virginia R Lind | Optometry | 59 College Rd, Suite 209, Fairbanks, AK 99701-1757 | |
| Aimee Desiree Burgess | Chiropractic | Life Sprout Chiropractic LLC | 505 Illinois St, Suite 4, Fairbanks, AK 99701-2946 |
| James P Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Robert E Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Keith A Franzen | Physical Therapy | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Kevin Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Jeffrey R Sturgill | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Jimmy M Tamai | Orthopedic Surgery | 1275 Sadler Way, Suite 101, Fairbanks, AK 99701-3175 | |
| Find all physicians in zip 99701 | |||
| City | FAIRBANKS |
| Zip Code | 99701 |
| Specialty | OPTOMETRY |
| City + Specialty | FAIRBANKS + OPTOMETRY |
Please comment or provide details below to improve the information on Jeremy Cole Fulk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.