Jeffrey K Chaulk MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301405077 Issued in MI

Legal business name

JEFFREY K CHAULK MD PC

Doing business as

Alpine Eye Care

Practice address

1200 N Down River Rd
Grayling, MI 49738

Phone

(989) 348-8689

Fax

(989) 348-6462

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey K Chaulk, MD

Title

Owner

Phone

(989) 732-6455

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Alpine Eye Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1558557454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345665",
            "telephone_number": "989-732-6455",
            "fax_number": "989-732-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "49738",
            "telephone_number": "989-348-8689",
            "fax_number": "989-348-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K CHAULK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CHAULK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-732-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004074",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003939",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301405077",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301081575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038306",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Hopp
• Hospitalist Medicine Physicians of Michigan -TCG, PLLC
• Sara Houchin
• Logan E Hutek
• Thad M Jackson, D.O.
• Amy Johnson
• Madison Kay Junttila
• Hans U Juttner, MD
• Thomas Kane, NP
• Nanci E. Karczewski, M.A.

• Ophthalmology Physician in Grayling, MI
• Providers in Grayling, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.