DR. RYAN TYLER FULLEN OD - NPI 1245528389 - Optometrist in Manning, SC

Q: What is Ryan Fullen's NPI number?

The NPI number for Ryan Fullen is 1245528389. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Q: What is Ryan Fullen'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 Ryan Fullen was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Ryan Tyler Fullen Od NPPES

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

DR. RYAN TYLER FULLEN OD (NPI 1245528389) is an individual optometrist in Manning, South Carolina, licensed in South Carolina (1659) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245528389

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RYAN TYLER FULLENCredential: OD

Location Address1774 PAXVILLE HWYManning, SC 29102-5071

Mailing Address8096 Rivers AveNorth Charleston, SC 29406-9235 · (843) 818-2020 · Fax (843) 818-2379

Phone(803) 435-2494

Fax(803) 435-8765

Sole ProprietorYes

Enumeration DateJuly 11, 2011

Last NPPES UpdateMarch 3, 2015

✔ NPI 1245528389 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 SC · 1659

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.

1774 PAXVILLE HWY, Manning, SC 29102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Tyler Fullen Od 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 29102 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 6

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

ASHLEE FINNELL OD

Optometrist