MICHAEL J FULLERTON O.D.
NPI 1215071949
Optometrist in Pryor, OK

Q: What is Michael Fullerton's NPI number?

The NPI number for Michael Fullerton is 1215071949. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Michael Fullerton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fullerton was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2007PECOS Enrolled

202 S ADAIR ST, PRYOR, OK 74361(918) 825-0055(918) 824-2000 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael J Fullerton O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J FULLERTON O.D. (NPI 1215071949) is an individual optometrist in Pryor, Oklahoma, licensed in Oklahoma (877) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215071949

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMICHAEL J FULLERTONCredential: O.D.

Location Address202 S ADAIR STPryor, OK 74361-5202

Mailing AddressPo Box 1400Pryor, OK 74362-1400 · (918) 825-0055 · Fax (918) 824-2000

Phone(918) 825-0055

Fax(918) 824-2000

Sole ProprietorYes

Enumeration DateFebruary 16, 2007

Last NPPES UpdateMarch 25, 2009

✔ NPI 1215071949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OK · 877

Definition

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.

202 S ADAIR ST, Pryor, OK 74361

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Other Identifiers 3

Medicaid100764830AOK

Medicare NSC0766210001OK

Medicare UPINT40455OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Fullerton O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fullerton's NPI number?

The NPI number for Michael Fullerton is 1215071949. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Michael Fullerton located?

Michael Fullerton practices at 202 S Adair St, Pryor, OK 74361. The listed phone number is (918) 825-0055.

What is Michael Fullerton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Fullerton enrolled in Medicare?

Yes. Michael Fullerton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Fullerton was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.