Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALPINE EYE CARE, PC
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: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alpine Eye Care, Pc NPPES

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

ALPINE EYE CARE, PC (NPI 1215065727), doing business as Alpine Eye Care, 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 Michelle Tobin, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1215065727
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameALPINE EYE CARE, 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 OfficialMichelle TobinBusiness Manager · (989) 732-6455
Enumeration DateFebruary 28, 2007
Last NPPES UpdateSeptember 3, 2026
NPPES CertifiedSeptember 3, 2026
✔ 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 4901004074 (MI), 4901003939 (MI)
350 W NORTH ST, Gaylord, MI 49735

Other Names 2

Doing Business AsAlpine Eye Care
Former Legal Business NameJeffrey K Chaulk Md Pc

Other Identifiers 8

Other180F910770MI · Bcbs Od
Other1806920011MI · Blue Care Network
Medicaid3038315MI
Other180F910760MI · Bcbs Md
OtherCJ0562MI · Railroad Medicare
Other900F910770MI · Blue Care Network
Other900F910770MI · Bcbs
Other1806920011MI · Bcbs

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alpine Eye Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Alpine Eye Care, PC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Optometry
NPI 1205212131
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare0.3 mi
Ophthalmology
NPI 1710925334
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS3.3 mi
Ophthalmology
NPI 1437470325
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare3.3 mi
Optometry
NPI 1346814613
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare3.3 mi
Ophthalmology
NPI 1255851952
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare3.3 mi
Optometry
NPI 1275611246
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare3.3 mi
Optometry
NPI 1306255187
350 W NORTH ST
Gaylord, MI 49735
(989) 732-6455
✔ PECOS✔ Accepts Medicare3.3 mi
Ophthalmology
NPI 1699115675
4499 TOWN CENTER PKWY
Flint, MI 48532
(810) 733-7111
✔ PECOS✔ Accepts Medicare147 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Alpine Eye Care, PC's NPI number?

The NPI number for Alpine Eye Care, 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. The provider was formerly known as Jeffrey K Chaulk MD PC.

Where is Alpine Eye Care, PC located?

Alpine Eye Care, PC is located at 350 W North St, Gaylord, MI 49735. The listed phone number is (989) 732-6455.

What is Alpine Eye Care, PC's specialty?

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

Is Alpine Eye Care, PC enrolled in Medicare?

Yes. Alpine Eye Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alpine Eye Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Alpine Eye Care, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (4). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alpine Eye Care, 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 Alpine Eye Care, 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 Alpine Eye Care, 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, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list Alpine Eye Care, 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 Alpine Eye Care, PC was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.