Individual provider Active NPI

Bridgette D Fuller, OD

  • Optometrist
  • San Marcos, TX
National Provider Identifier
1528025582
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6991 Issued in TX
Practice address
2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256
Phone
(512) 754-6161
Fax
(512) 754-6197
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001262 DE
Optometrist 152W00000X OP1000086 DC
Optometrist 152W00000X 0618001388 VA
Optometrist 152W00000X OE008388T PA
Optometrist 152W00000X 6991 TX Primary
Optometrist 152W00000X TA1500 MD

Addresses

Primary practice location

2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
263010YMP3OtherTXMEDICARE

Other names 1

  • Dr. Bridgette D Dowe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drfuller@mccormickvision.com Health Information Exchange (HIE) MCCORMICK VISION PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20090302000390 TX Practitioner - Optometry 2163495276 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Hills Eye Care, PCGroup PAC ID 4981849841, 11 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

10401 Research Blvd
A
Austin, TX 78759-5712
Phone (512) 345-2000

501 E Palm Valley Blvd
Round Rock, TX 78664-3000
Phone (512) 248-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6991TXMDChiropractor
6991TGTXMDOptometrist
0618001388VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Aug 7, 2017 Accepting new patients
Lone Star Circle of Care Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 13, 2024 Accepting new patients
Great Hills Eye Care, PC Optometrist Current Accepting new patients
Lone Star Circle of Care CurrentSince Aug 7, 2017 Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Belton Eye Care Center Optometrist PastSince Jan 2, 2019 Accepting new patients
Texan Eye, PA Optometrist Past Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

10401 Research Blvd
#A
Austin, TX 78759
Phone (512) 345-2000

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

2201 N Interstate 35
Ste A
Georgetown, TX 78628
Phone (512) 793-7931

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 113
Georgetown, TX 78628
Phone (512) 863-9208

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

1901 Kelly Ln
Ste A
Pflugerville, TX 78660
Phone (512) 345-2000

501 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 248-2424

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Interoperability endpoints

  • Direct secure messaging: bridgette.fuller.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 12

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1528025582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 HUNTER RD STE 102",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665256",
            "telephone_number": "512-754-6161",
            "fax_number": "512-754-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRIDGETTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001262",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000086",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001388",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008388T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6991",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "263010YMP3",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drfuller@mccormickvision.com",
            "affiliation": "Y",
            "endpointDescription": "Private Optometry practice",
            "affiliationName": "MCCORMICK VISION PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12701 Research Blvd Ste 101",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787594325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "DOWE",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.