DR. WAYNE B FULLER (NPI# 1689761041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689761041 |
| Entity Type | Individual |
| Full Name | DR. WAYNE B FULLER |
| Credential | O.D. |
| Practice Address |
210 2nd Ave Se Cullman AL 35055-3514 |
| Mailing Address |
210 2nd Ave Se P. O. Box 1067 Cullman AL 35055-3514 |
| Practice Telephone | 2567341121 |
| Practice Fax Number | 2567341991 |
| Mailing Telephone | 2567341121 |
| Mailing Fax Number | 2567341991 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S320TA285 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51521397 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093017261 | Wayne W Fuller | Psychologist | 90 Old Hanson Rd, Hanson, KY 42413-9586 | 2010-11-22 |
| 1508867672 | Wayne Templeton Fuller | Family Medicine | 628 Thalia Point Rd, Virginia Beach, VA 23452-1816 | 2005-08-10 |
| 1952390700 | Wayne A Fuller | Anesthesiology | 1700 Clinton St, Muskegon, MI 49442-5502 | 2005-10-14 |
| Street Address |
210 2ND AVE SE |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071193 | Fuller Optical, LLC | Point of Service | 210 2nd Ave Se, Cullman, AL 35055-3514 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104488055 | Myeyedr Optometry of Alabama, LLC | Optometrist | 601b Graham St Sw, Cullman, AL 35055-5298 | 2019-07-01 |
| 1316088313 | Laura Noles Morton | Optometrist | 1850 Cherokee Ave Sw Ste D, Cullman, AL 35055-7503 | 2007-02-11 |
| 1407957368 | Cullman Eye Specialists, P.C. | Optometrist | 601 Graham Street Sw, Suite B, Cullman, AL 35055-5298 | 2006-09-25 |
| 1679501233 | Emily Che Flores | Optometrist | 601 Graham Street, Sw, Suite A, Cullman, AL 35055-5298 | 2006-06-30 |
| 1740227719 | Jerry Esmond Sutherland | Optometrist | 1400 Wall St, Cullman, AL 35055-6011 | 2006-05-31 |
| 1730150954 | Paula C. Robinson | Optometrist | 601a Graham St Sw, Cullman, AL 35055-5298 | 2006-01-27 |
| 1689653875 | Gary C Few | Optometrist | 1813 Kress Street Ne, Cullman, AL 35058-3601 | 2006-01-16 |
| 1649263773 | Kevin Wayne Neal | Optometrist | 626 Olive St Sw, Cullman, AL 35055-5594 | 2005-08-24 |
| 1023001278 | Phillip Michael Guthery | Optometrist | 100 7th St Sw Ste B, Cullman, AL 35055-4265 | 2005-08-23 |
| 1669464582 | R Bryan Boozer | Optometrist | 1000 2nd Ave Sw, Cullman, AL 35055-4934 | 2005-08-17 |
| Find all providers in CULLMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.