Stanley R Fuller (NPI# 1396034658, PAC ID# 8325355167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1396034658 |
| PAC ID by PECOS | 8325355167 |
| Professional Enrollment ID | I20150911000561 |
| Full Name | Stanley R Fuller |
| Organization Legal Name | EYE CLINIC OF FAIRBANKS INC |
| Address |
116 Minnie St Fairbanks AK 99701-3006 |
| Phone Number | 9074567760 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7719878370 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020012 | FAIRBANKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 116 Minnie St, Fairbanks, AK 99701-3006 | 9074567760 | EYE CLINIC OF FAIRBANKS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 90% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 75% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 41% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 98% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94% |
| Organization Legal Name | EYE CLINIC OF FAIRBANKS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Cole Fulk | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Ronald W Zamber | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Larry Coon | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Street Address |
116 MINNIE ST |
| City | FAIRBANKS |
| State | AK |
| Zip | 99701-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Cole Fulk | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Ronald W Zamber | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Larry Coon | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Davis | Chiropractic | 1018 College Rd, Fairbanks, AK 99701-1557 | |
| William A Tewson | Chiropractic | 29 College Rd, 8b1, Fairbanks, AK 99701-1739 | |
| Virginia R Lind | Optometry | 59 College Rd, Suite 209, Fairbanks, AK 99701-1757 | |
| Aimee Desiree Burgess | Chiropractic | Life Sprout Chiropractic LLC | 505 Illinois St, Suite 4, Fairbanks, AK 99701-2946 |
| James P Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Robert E Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Keith A Franzen | Physical Therapy | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Kevin Lewis | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Jeffrey R Sturgill | Chiropractic | Arctic Chiropractic Fairbanks LLC | 308 Old Steese Hwy, Fairbanks, AK 99701-3126 |
| Jimmy M Tamai | Orthopedic Surgery | 1275 Sadler Way, Suite 101, Fairbanks, AK 99701-3175 | |
| Find all physicians in zip 99701 | |||
| City | FAIRBANKS |
| Zip Code | 99701 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | FAIRBANKS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Stanley R Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.