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PAUL FULGHUM OD PA
NPI 1861644379
Optometrist in Jacksonville, FL

Active since October 15, 2008
4225 LAKESIDE DR, JACKSONVILLE, FL 32210(904) 387-5704 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Fulghum Od Pa NPPES

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

PAUL FULGHUM OD PA (NPI 1861644379) is a healthcare organization registered as an optometrist in Jacksonville, Florida and active in the NPI registry since October 2008. The organization lists Paul Fulghum, Owner, as its authorized official.

NPPES Registry Identity

NPI1861644379
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePAUL FULGHUM OD PA
Location Address4225 LAKESIDE DRJacksonville, FL 32210-3305
Mailing Address4225 Lakeside DrJacksonville, FL 32210-3305 · (904) 387-5704
Phone(904) 387-5704
Organization SubpartNo
Authorized OfficialPaul FulghumOwner · (904) 387-5704
Enumeration DateOctober 15, 2008
Last NPPES UpdateNovember 3, 2010
✔ NPI 1861644379 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 FL · OPC1834
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.
4225 LAKESIDE DR, Jacksonville, FL 32210
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Other Identifiers 3

Medicare UPINT-933906FL
Medicaid086592300FL
Medicare PINDQ739AFL

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

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL STUART NASON O.D.
Optometrist
4225 LAKESIDE DR
JACKSONVILLE, FL 32210
Duval County (904) 387-5704
PAUL FULGHUM OD PA
Optometrist
4225 LAKESIDE DR
JACKSONVILLE, FL 32210
Duval County (904) 387-5704

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 Paul Fulghum Od PA's NPI number?

The NPI number for Paul Fulghum Od PA is 1861644379. It was assigned to this organization in the NPPES registry on October 15, 2008.

Where is Paul Fulghum Od PA located?

Paul Fulghum Od PA is located at 4225 Lakeside Dr, Jacksonville, FL 32210. The listed phone number is (904) 387-5704.

What is Paul Fulghum Od PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Paul Fulghum Od PA was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.