Michael J Mavencamp in Fairbanks - Optometrist
Michael J Mavencamp - NPI 1760541676
Michael J Mavencamp is a Optometrist in Fairbanks, Alaska. Michael J Mavencamp practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael J Mavencamp is 1760541676. The last update date is 2012-08-28.
Michael J Mavencamp's current location address is 570 Riverstone Way, Fairbanks, Alaska. You can contact this provider via phone number 9074794700 and fax number 9074575596. The mailing address for Michael J Mavencamp is 570 Riverstone Way, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael J Mavencamp |
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Address | 570 Riverstone Way, Fairbanks, Alaska |
Phone Number | 9074794700 |
Fax Number | 9074575596 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1760541676 |
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Provider Enumeration Date | 2006-12-06 |
Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
Address | 570 Riverstone Way |
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City | Fairbanks |
State | Alaska (AK) |
Post Code | 99709 |
Phone Number | 9074794700 |
Fax Number | 9074575596 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | A240 |
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 |
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What is the unique identifier code issued to Michael J Mavencamp by the Centers for Medicare & Medicaid Services?
The Michael J Mavencamp has been assigned the NPI (National Provider Identifier) 1760541676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael J Mavencamp's physical address?
The Michael J Mavencamp is physically located at 570 Riverstone Way, in the city of Fairbanks, AK, with the postal code 99709.
What is Michael J Mavencamp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael J Mavencamp is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Michael J Mavencamp receive its 1760541676 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Mavencamp was assigned its 1760541676 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date were the details related to Michael J Mavencamp most recently updated or revised?
The information pertaining to Michael J Mavencamp, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-28.