GULF COAST VISION
NPI 1215655915
Optometrist in Gulfport, MS

Q: What is Fuller Vision, LLC's NPI number?

The NPI number for Fuller Vision, LLC is 1215655915. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Gulf Coast Vision.

Q: What is Fuller Vision, LLC's specialty?

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

Active since August 18, 2022CLIA 25D2281599 · Waiver

2170 E PASS RD STE A, GULFPORT, MS 39507(601) 382-4365 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2022, Aug 18, 2022 (2 updates tracked since 2022).

On this page

About Gulf Coast Vision NPPES

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

GULF COAST VISION (NPI 1215655915) is a healthcare organization registered as an optometrist in Gulfport, Mississippi and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Jay Andrew Fuller, Doctor, as its authorized official.

NPPES Registry Identity

NPI1215655915

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameFULLER VISION, LLC

Location Address2170 E PASS RD STE AGulfport, MS 39507-3864

Mailing Address2170 E Pass Rd Ste AGulfport, MS 39507-3864 · (228) 262-0266

Phone(601) 382-4365

Organization SubpartNo

Authorized OfficialJay Andrew FullerDoctor · (228) 262-0266

Enumeration DateAugust 18, 2022

Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration

NPPES CertifiedDecember 30, 2022

✔ NPI 1215655915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

2170 E PASS RD STE A, Gulfport, MS 39507

Open in Google Maps ↗

Other Names 1

Doing Business AsGulf Coast Vision

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2281599

Fuller Vision LLC Dba Gulf Coast Vision · Gulfport, MS

Active · expires May 8, 2027

CLIA Number25D2281599

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2025

Certificate Expiration DateMay 8, 2027

Laboratory DirectorDr. Jay A. Fuller

Laboratory Phone(228) 262-0266

Laboratory LocationFuller Vision LLC Dba Gulf Coast Vision2170 E Pass Rd Ste A, Gulfport, MS 39507

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAY FULLER O.D.

Optometrist

2170 E PASS RD STE A
GULFPORT, MS 39507

Harrison County (228) 262-0266

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 Fuller Vision, LLC's NPI number?

The NPI number for Fuller Vision, LLC is 1215655915. It was assigned to this organization in the NPPES registry on August 18, 2022. The provider is doing business as Gulf Coast Vision.

Where is Fuller Vision, LLC located?

Fuller Vision, LLC is located at 2170 E Pass Rd Ste A, Gulfport, MS 39507. The listed phone number is (601) 382-4365.

What is Fuller Vision, LLC's specialty?

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

Does Fuller Vision, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2281599) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fuller Vision, LLC was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.