Aubrey Fulton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

890 Issued in MS

Practice address

1001 Highway 98 Byp
Columbia, MS 39429-3741

Phone

(601) 620-0470

Fax

(601) 731-3030

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Eye Clinic, P.a.Group PAC ID 4587733829, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

89.54

Improvement activities

40

Cost

53.22

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aubrey.fulton.1@20428.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hattiesburg Eye Clinic, P.a.

  dba Hattiesburg Eye Clinic

  • Ophthalmology Physician
  • Hattiesburg, MS
  • NPI 1922110949

  Optometrist

  Medicare reassignment Care Compare group NPD
• Childrens Hospital of Wisconsin, Inc.

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1245308626
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1962844597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR W",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021334",
            "telephone_number": "601-268-5910",
            "fax_number": "601-264-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 98 BYP",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293741",
            "telephone_number": "601-620-0470",
            "fax_number": "601-731-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaria Fortenberry, PCMHT
• Rashan Foxworth
• Lakesha Shanell Franklin, LPN
• Julie M Freeman, PT
• Friendship MB Church Transportation
• Latoria Gabrieal, LPN
• Chelsea N Galloway, RN
• Latasha Gholar
• Tricha Gibson, LPN
• London Guthrie Gill

• Optometrist in Columbia, MS
• Providers in Columbia, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.