Fulton Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2559 Issued in OK

Legal business name

FULTON EYE CARE PLLC

Practice address

12009 Silver Sun Dr
Oklahoma City, OK 73162-1061

Phone

(405) 795-2015

NPI assigned

Aug 27, 2010

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.

Title

Optometrist

Phone

(405) 795-2015

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1588970511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 SILVER SUN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621061",
            "telephone_number": "405-795-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12009 SILVER SUN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621061",
            "telephone_number": "405-795-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-795-2015",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198100A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GP PIN",
            "identifier": "OKB5097",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raechyl Fuller
• Wendell Fuller, PHARM.D.
• Yvonne Janice Fuller
• Zenobia Fuller
• Brandy Dawn Fulson, PTA
• Samantha A Fulton
• Angela Fultz, M.A.
• Jeremy D Fultz
• Functional Assestment Centers of Oklahoma
• Functional Performance Training and Physical Therapy, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.