Michael D. Fulford, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0517 Issued in SC

Practice address

304 Laurens St NW
Aiken, SC 29801-3997

Phone

(803) 649-9561

Fax

(803) 649-2664

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1972

Medicare assignment

May accept Medicare assignment

Group practices

Rural Health Services, Inc.Group PAC ID 8527046010, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.fulford.1@13265.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rural Health Services, Inc

  dba Clyburn Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1447530431
  Medicare reassignment NPD
• Rural Health Services, Inc.

  dba Women and Children's Center

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1609646611
  Medicare reassignment NPD
• Rural Health Services, Inc.

  dba Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1053362111
  Medicare reassignment
• Rural Health Services, Inc.

  dba Margaret J. Weston Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Beech Island, SC
  • NPI 1790846608
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1093734469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LAURENS ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013997",
            "telephone_number": "803-649-9561",
            "fax_number": "803-649-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LAURENS ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013997",
            "telephone_number": "803-649-9561",
            "fax_number": "803-649-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "0517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "0596560001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410044189",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9643",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Frazier
• Victoria Roschelle Frazier, LMT
• Wayne T Frei, MD
• Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Medical Care Aiken)
• Ashanti Friels-Paz, PH.D.
• Charlene G. Gainey, LISW-CP
• Charlotte Galgano
• Brandi Galloway, FNP
• Suzanne Gardiner
• Sydney Sanders Gardner, SLP

• Optometrist in Aiken, SC
• Providers in Aiken, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.