JEFFREY K CHAULK MD PC NPI 1902093701

NPI Information

  • NPI: 1902093701
  • Provider Name: JEFFREY K CHAULK MD PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: ALPINE EYE CARE
  • CLIA Number: 23D2090393
  • Address: 810 S MAIN ST
    SUITE 3
    CHEBOYGAN, MI
    ZIP 49721
  • Phone: (231) 627-3169

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NPI Details

JEFFREY K CHAULK MD PC is an ophthalmology in Cheboygan, MI. The provider is 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. JEFFREY K CHAULK MD PC NPI is 1902093701. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alpine Eye Care.

The provider's business location address is:

810 S MAIN ST
SUITE 3
CHEBOYGAN, MI
ZIP 49721-290
Phone: (231) 627-3169
Fax: (231) 627-3099

The provider's authorized official is Jeffrey K Chaulk .
The authorized official title is Owner and has the following contact phone number (989) 732-6455.

The CLIA number assigned to this NPI record is 23D2090393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 2/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist4901004074MICHIGANNo
2152W00000XOptometrist4901003939MICHIGANNo
3207W00000XOphthalmology4301081575MICHIGANNo
4207W00000XOphthalmology4301405077MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B46881MEDICARE UPINMICHIGAN
20585020003MEDICARE NSC
33038290MEDICAIDMICHIGAN
40F94502MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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