Fulton Eyecare Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2559 Issued in OK

Legal business name

FULTON EYECARE CENTER PLLC

Practice address

402 W Chickasha Ave Ste 100
Chickasha, OK 73018-2461

Phone

(405) 224-3937

Fax

(405) 224-4375

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allen Fulton, O.D.NPI 1851547301

Title

President

Phone

(405) 224-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Allen Fulton, O.D.

  • Optometrist
  • Chickasha, OK
  • NPI 1851547301
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1255353223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W CHICKASHA AVE STE 100",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182461",
            "telephone_number": "405-224-3937",
            "fax_number": "405-224-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W CHICKASHA AVE STE 100",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182461",
            "telephone_number": "405-224-3937",
            "fax_number": "405-224-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-224-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "OKAAA2512",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1851547301",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "OKAAA2511",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela J Foster, M.S., L.P.C.
• Linsey Freie
• Friend Public School
• Friend Public Schools
• Rex Lynn Fryer, M.ED.
• Robert Allen Fulton, O.D.
• John R Gearhart, MD
• George W. Williams, DDS, Inc
• Jana Gibson
• Glenn H. Gilbreath Jr., D.PH.

• Optometrist in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.