ALPINE EYE CARE
NPI 1215065727
Ophthalmology in Gaylord, MI

Active since February 28, 2007CLIA 23D2090391 · Waiver
350 W NORTH ST, GAYLORD, MI 49735(989) 732-6455(989) 732-1102 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alpine Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPINE EYE CARE (NPI 1215065727) is a healthcare organization registered as an ophthalmology in Gaylord, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Jeffrey K Chaulk, Owner, as its authorized official.

NPPES Registry Identity

NPI1215065727
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJEFFREY K CHAULK MD PC
Location Address350 W NORTH STGaylord, MI 49735-1525
Mailing AddressPo Box 1665Gaylord, MI 49734-5665 · (989) 732-6455 · Fax (989) 732-1102
Fax(989) 732-1102
Organization SubpartNo
Authorized OfficialJeffrey K ChaulkOwner · (989) 732-6455
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 20, 2010
NPI 1215065727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MI · 4301405077 Licensed in MI · 5101016992
Definition
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.
Also ListedOptometristTaxonomy 152W00000X · License 4901003939 (MI), 4901004074 (MI)
350 W NORTH ST, Gaylord, MI 49735

Other Names 1

Doing Business AsAlpine Eye Care

Other Identifiers 11

Other900F910770MI · Bcbs
Other180F910760MI · Bcbs Md
Medicare UPINB46881MI
Medicaid3038315MI
Medicare NSC0585020001
Other900F910770MI · Blue Care Network
Other180F910770MI · Bcbs Od
Other1806920011MI · Bcbs
OtherCJ0562MI · Railroad Medicare
Other1806920011MI · Blue Care Network
Medicare ID-Type Unspecified0F94502MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2090391

Jeffrey K Chaulk, MD, PC Dba Alpine Eye Care · Gaylord, MI
Active · expires Jan 21, 2027
CLIA Number23D2090391
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJeffrey K. Chaulk
Laboratory Phone(989) 732-6455
Laboratory LocationJeffrey K Chaulk, MD, PC Dba Alpine Eye Care350 W North Street, Gaylord, MI 49735
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Jeffrey K Chaulk MD PC carries, from the Medicare DMEPOS supplier directory.

Jeffrey K Chaulk MD PC

DMEPOS supplier · Gaylord, MI

Accepts Medicare assignment

Jeffrey K Chaulk MD PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20670095
Medicare Participant SinceApril 1, 1994
Supplier Location350 W North StGaylord, MI 49735
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
350 W NORTH ST
GAYLORD, MI 49735
Ophthalmology
350 W NORTH ST
GAYLORD, MI 49735
Optometrist
350 W NORTH ST
GAYLORD, MI 49735
Optometrist
350 W NORTH ST
GAYLORD, MI 49735
Optometrist
350 W NORTH ST
GAYLORD, MI 49735
Ophthalmology
350 W NORTH ST
GAYLORD, MI 49735
Ophthalmology
350 W NORTH ST
GAYLORD, MI 49735
Ophthalmology
350 W NORTH ST
GAYLORD, MI 49735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey K Chaulk MD PC's NPI number?

The NPI number for Jeffrey K Chaulk MD PC is 1215065727. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Alpine Eye Care.

Where is Jeffrey K Chaulk MD PC located?

Jeffrey K Chaulk MD PC is located at 350 W North St, Gaylord, MI 49735. The listed phone number is (989) 732-6455.

What is Jeffrey K Chaulk MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Jeffrey K Chaulk MD PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jeffrey K Chaulk MD PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Jeffrey K Chaulk MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2090391) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jeffrey K Chaulk MD PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Jeffrey K Chaulk MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey K Chaulk MD PC was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.