Individual provider Active NPI

Danlin Jenny Fuller, MD

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1407276769
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
W2962 Issued in TX
Practice address
3017 W 7TH St Ste 210
Fort Worth, TX 76107-2223
Phone
(817) 348-9090
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X W2962 TX Primary
Ophthalmology Physician 207W00000X 37806 OK
Ophthalmology Physician 207W00000X 7482 GA
Internal Medicine Physician 207R00000X MT206038 PA

Addresses

Primary practice location

3017 W 7TH St Ste 210
Fort Worth, TX 76107-2223

Mailing address

3017 W 7TH St Ste 210
Fort Worth, TX 76107-2223
Phone (817) 348-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OK, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180705001160 SC Practitioner - Ophthalmology 0547551723 Reassigns benefits to 1 organization
I20210614000138 OK Practitioner - Ophthalmology 0547551723 Reassigns benefits to 1 organization
I20260512002090 TX Practitioner - Ophthalmology 0547551723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Oklahoma PLLCGroup PAC ID 3173522596, 14 clinicians

Practice addresses (Care Compare)

2909 S Telephone Rd
Eye Associates of Oklahoma
Moore, OK 73160-2937
Phone (405) 799-7510

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
96.81
Improvement activities
40
Cost
54.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT206038PAMDInternal Medicine Physician
37806OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Oklahoma PLLC Ophthalmology CurrentSince Nov 6, 2022 Accepting new patients
Columbia Eye Clinic PA Ophthalmology CurrentSince Jun 30, 2018 Accepting new patients
Eye Associates of Oklahoma PLLC Ophthalmology CurrentSince Aug 2, 2021 Accepting new patients

Locations

2909 S Telephone Rd
Moore, OK 73160
Phone (405) 733-4545

10801 S Western Ave
Ste 200
Oklahoma City, OK 73170
Phone (405) 703-8404

10801 S Western Ave
Oklahoma City, OK 73170

1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1407276769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W 7TH ST STE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072223",
            "telephone_number": "817-348-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W 7TH ST STE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072223",
            "telephone_number": "817-348-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DANLIN",
        "middle_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "W2962",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "37806",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "7482",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT206038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.