Michael J. Fullerton, O.D.

Optometrist · Pryor, OK

Individual Active NPI

NPI number 1215071949

Practice location

202 S Adair St
Pryor, OK 74361-5202
Phone
(918) 825-0055
Fax
(918) 824-2000

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NPI record

NPI
1215071949
Entity type
Individual (Type 1)
Enumeration date
February 16, 2007
Last updated
March 25, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 877 OK

Mailing address

PO Box 1400
Pryor, OK 74362-1400
Phone
(918) 825-0055
Fax
(918) 824-2000

About Dr. Fullerton

Michael J. Fullerton, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 202 S Adair St, Pryor, OK 74361-5202. The NPI number 1215071949 was assigned on February 16, 2007 and the record was last updated on March 25, 2009.

Dr. Fullerton lists a license in the registry: #877 (OK) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Fullerton, O.D.?

The NPI number is 1215071949.

What is the phone number of Dr. Fullerton?

The phone number listed for the practice location is (918) 825-0055.

Where is Dr. Fullerton located?

202 S Adair St, Pryor, OK 74361-5202.

What is the taxonomy code for Dr. Fullerton?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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