Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stanley R Fuller, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396034658

Dr. Stanley R Fuller, MD is an Ophthalmology in Fairbanks, Alaska. Graduated from Wake Forest University School of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
16
Trained at
Wake Forest University School of Medicine
Licensed in
AK
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

116 Minnie St
Fairbanks, AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 328-1867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 100664 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396034658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESNovember 29, 2016

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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