DR. DEREK FREDERICK FATURA O.D.
NPI 1871601294
Optometrist in Ludington, MI

Q: What is Derek Fatura's NPI number?

The NPI number for Derek Fatura is 1871601294. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Q: What is Derek Fatura's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Fatura was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 27, 2006

4854 W US HIGHWAY 10, LUDINGTON, MI 49431(231) 843-6553 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Derek Frederick Fatura O.d. NPPES

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

DR. DEREK FREDERICK FATURA O.D. (NPI 1871601294) is an individual optometrist in Ludington, Michigan, licensed in Michigan (4901004196) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1871601294

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DEREK FREDERICK FATURACredential: O.D.

Location Address4854 W US HIGHWAY 10Ludington, MI 49431-8703

Mailing Address6123 Alliene RdLudington, MI 49431-9653 · (231) 843-6640

Phone(231) 843-6553

Sole ProprietorYes

Enumeration DateAugust 27, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871601294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901004196

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4854 W US HIGHWAY 10, Ludington, MI 49431

Open in Google Maps ↗

Other Identifiers 5

Other213230MI · Cole Managed Vision Cia#

Medicare UPINU9B966MI

OtherWALM19063MI · Spectera User Id#

Medicare PIN0P02270MI

Other48638MI · Davis Vision Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

ELIZABETH MARIE VENCHUK RPH

Pharmacist