Organization Active NPI

Fuller Eye Care Associates, O.D., P.a.

  • Optometrist
  • Asheville, NC
National Provider Identifier
1619162401
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1477 Issued in NC
Legal business name
FULLER EYE CARE ASSOCIATES, O.D., P.A.
Doing business as
Tunnel Road Optometry Group, OD, PA
Practice address
2B Haw Creek LN
Asheville, NC 28805-2250
Phone
(828) 298-0854
Fax
(828) 298-2738
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Thomas Scott Fuller, O.D.
Title
President
Phone
(828) 298-0854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1477 NC Primary

Addresses

Primary practice location

2B Haw Creek LN
Asheville, NC 28805-2250

Mailing address

2B Haw Creek LN
Asheville, NC 28805-2250
Phone (828) 298-0854

Other identifiers 1

IdentifierTypeStateIssuer
890907HMedicaidNC

Other names 1

  • Tunnel Road Optometry Group, OD, PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1619162401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B HAW CREEK LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052250",
            "telephone_number": "828-298-0854",
            "fax_number": "828-298-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2B HAW CREEK LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052250",
            "telephone_number": "828-298-0854",
            "fax_number": "828-298-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER EYE CARE ASSOCIATES, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-298-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890907H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tunnel Road Optometry Group, OD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.