Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael J Mavencamp, OD

Individual provider Optometrist · NPI 1760541676

Dr. Michael J Mavencamp, OD is an Optometry in Fairbanks, Alaska. Graduated from Pacific University - College of Optometry in 2005, 21 years ago. Practices with West Valley Vision Center, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
21
Trained at
Pacific University - College of Optometry
Licensed in
AK
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

570 Riverstone Way Ste 3
Fairbanks, AK 99709
Phone: (907) 479-4700
Fax: (907) 457-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence A240 (AK)

Record details

NPI number1760541676
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 28, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Group practice West Valley Vision Center, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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