Aubrey Fulton, O.D.
Individual provider Active NPI Optometrist · Columbia, MS
NPI 1962844597 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1962844597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 890 (MS)
- Practice address
- 1001 Highway 98 Byp
Columbia, MS 39429-3741 - Phone
- (601) 620-0470
- Fax
- (601) 731-3030
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
100 Hospital Dr W
Hattiesburg, MS 39402-1334
Phone (601) 268-5910
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 89.54
- Improvement activities
- 40
- Cost
- 53.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131018000122 | MS | Practitioner - Optometry | 7517191968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Eye Clinic, P.a. | Optometrist | Current |
Accepting new patients |
| Childrens Hospital of Wisconsin, Inc. | Past | Accepting new patients |
Locations
426 Broad St
Columbia, MS 39429
1001 Highway 98 Byp
Columbia, MS 39429
Phone (601) 620-0470
100 Hospital Dr W
Hattiesburg, MS 39402
Phone (601) 268-5910
1711 W 20th St
Laurel, MS 39440
Phone (650) 660-1649
Interoperability endpoints
- aubrey.fulton.1@20428.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 890 | MS | Yes |
Addresses
Primary practice location
1001 Highway 98 Byp
Columbia, MS 39429-3741
Mailing address
100 Hospital Dr W
Hattiesburg, MS 39402-1334
Phone (601) 268-5910
Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.