SPENCER FULLER MD MPH NPI 1124513023

NPI Information

  • NPI: 1124513023
  • Provider Name: SPENCER FULLER, MD, MPH
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5449 RENO CORPORATE DR STE 200
    RENO, NV
    ZIP 89511
  • Phone: (775) 737-9411

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NPI Details

Spencer Fuller, MD, MPH is a retina specialist ophthalmology in Reno, NV with 8 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Spencer Fuller, MD, MPH NPI is 1124513023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

5449 RENO CORPORATE DR STE 200
RENO, NV
ZIP 89511-626
Phone: (775) 737-9411
Fax: (775) 737-9413

The NPI 1124513023 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)

The enumeration date for this NPI number is 6/25/2018 and was last updated on 8/16/2024.

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
1207W00000XOphthalmology2018020280MISSOURINo
2207W00000XOphthalmology12685949-1205UTAHNo
3207WX0107XOphthalmologyRetina Specialist24889NEVADAYes
4207R00000XInternal Medicine2018020280MISSOURINo

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

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