NPI 1134571698

Jeremy Fulk

Practitioner Optometrist Fairbanks, AK

Practice location

Address: 116 Minnie St, Fairbanks, AK 99701-3006
Phone: (907) 456-7760

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 112293 (AK)

Other Optometrist providers in Alaska →

Registry record

NPI: 1134571698
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2016
Record last updated: 19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.