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

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: July 19, 2026.

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
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

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

The NPI number assigned to this healthcare provider is 1215071949, enumerated as an "individual" on February 16, 2007.

The provider is located at 202 S ADAIR ST PRYOR, OK 74361 and the phone number is (918) 825-0055.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.