Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fairbanks, AK

No coordinates on file. Search this address in Google Maps

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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