DR. DANIEL GUNN FULLER O.D. NPI 1023087632

NPI Information

  • NPI: 1023087632
  • Provider Name: DR. DANIEL GUNN FULLER, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1225 MADISON AVE
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 722-3319

Map and Directions

Get Directions

NPI Details

DR. Daniel Gunn Fuller, O.D. is an optometrist in Memphis, TN with 42 years of experience. The provider is 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. DR. Daniel Gunn Fuller, O.D. NPI is 1023087632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year:1984

The provider's business location address is:

1225 MADISON AVE
MEMPHIS, TN
ZIP 38104-211
Phone: (901) 722-3319
Fax: (901) 722-3394

The NPI 1023087632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/16/2006 and was last updated on 7/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementT1170TENNESSEENo
2152WL0500XOptometristLow Vision RehabilitationT1170TENNESSEENo
3152WP0200XOptometristPediatricsT1170TENNESSEENo
4152WS0006XOptometristSports VisionT1170TENNESSEENo
5152WV0400XOptometristVision TherapyT1170TENNESSEENo
6152WX0102XOptometristOccupational VisionT1170TENNESSEENo
7152W00000XOptometristT1170TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13732043MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGROUP NUMBER
2001916913OTHERTENNESSEEBC BS OF TN
33596717MEDICARE ID-TYPE UNSPECIFIEDTENNESSEECOLLIERVILLE OFFICE
4T74455MEDICARE UPINTENNESSEE
53596711MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGERMANTOWN LOCATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI