Alaska Eyecare Professionals LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALASKA EYECARE PROFESSIONALS LLC

Practice address

4015 Lake Otis Pkwy Ste 100
Anchorage, AK 99508-5235

Phone

(907) 250-5300

Fax

(855) 729-1235

NPI assigned

Apr 8, 2026

Last updated

Jun 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Fulk, ODNPI 1134571698

Title

Owner

Phone

(907) 646-9990

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Fulk

  • Optometrist
  • Fairbanks, AK
  • NPI 1134571698
  NPD Authorized official

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1902748817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-250-5300",
            "fax_number": "855-729-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-250-5300",
            "fax_number": "855-729-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA EYECARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-646-9990",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alaska Eye Care Centers, Apc
• Alaska Eye Surgery and Laser Center, Inc.
• Alaska Family Care Associates, LLC
• Alaska Family Counseling, LLC
• Alaska Family Dental LLC
• Alaska Family Dermatology, LLC
• Alaska Family Medical Care LLC

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.