Daniel G. Fuller

Primary specialty

OptometristTaxonomy code 152W00000X

License

0600002014 Issued in TN

Legal business name

DANIEL G. FULLER

Practice address

2075 Exeter Rd
Suite70
Germantown, TN 38138-3962

Phone

(901) 754-2020

Fax

(901) 756-9537

NPI assigned

Jun 27, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel G Fuller, O.DNPI 1023087632

Title

Owner

Phone

(901) 754-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Gunn Fuller, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1023087632
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1831396654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 EXETER ROAD",
            "address_2": "SUITE70",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-754-2020",
            "fax_number": "901-756-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 EXETER RD",
            "address_2": "SUITE70",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383962",
            "telephone_number": "901-754-2020",
            "fax_number": "901-756-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL G. FULLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-754-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0600002014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Dalal, MD
• Apurva Rashmikant Dalal, MD
• Allison Dallas, NP
• Katelyn Dalton, DPT
• Paul H Dang, M.D.
• Ashley Noel Daniel, NP
• Natalie Danielson, PHARMD
• Beverly W Danley, M.D.
• Tripp A Dargie, MD
• Elly Darlington

• Optometrist in Germantown, TN
• Providers in Germantown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.