DR. B.D. FULLER & ASSOC NPI 1669560579

NPI Information

  • NPI: 1669560579
  • Provider Name: DR. B.D. FULLER & ASSOC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 11200 LAKELINE MALL DR LOWR LEVEL
    STE E-5
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 401-6000

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NPI Details

DR. B.D. FULLER & ASSOC is an optometrist in Cedar Park, TX. 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. B.D. FULLER & ASSOC NPI is 1669560579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11200 LAKELINE MALL DR LOWR LEVEL
STE E-5
CEDAR PARK, TX
ZIP 78613-501
Phone: (512) 401-6000
Fax: (512) 401-6004

The provider's authorized official is Bridgette Fuller .
The authorized official title is Optometrist and has the following contact phone number (512) 636-1995.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 9/17/2010.

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
1152W00000XOptometrist6991TGTEXASYes

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
11528025582OTHERTEXASNPI ENUMERATOR
2U83304MEDICARE UPIN

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: 3/30/2025

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