DR. MICHAEL D. FULFORD (NPI# 1093734469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093734469 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D. FULFORD |
| Credential | O.D. |
| Practice Address |
304 Laurens St Nw Aiken SC 29801-3997 |
| Practice Telephone | 8036499561 |
| Practice Fax Number | 8036492664 |
| Mailing Telephone | 8036499561 |
| Mailing Fax Number | 8036492664 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0517 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DMERC NUMBER | 0596560001 | 01 |
| SC | RR MEDICARE | 410044189 | 01 |
| SC | DA9643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035275 | Michael Anthony Stephon Fulford | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 107, Fresno, CA 93711-3229 | 2019-04-18 |
| Street Address |
304 LAURENS ST NW |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489573 | Michael D. Fulford, Pa | Optometrist | 304 Laurens St Nw, Aiken, SC 29801-3997 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528345691 | S & H Eye Care, LLC | Optometrist | 1055 Silver Bluff Rd Ste A, Aiken, SC 29803-5884 | 2011-11-03 |
| 1427333509 | S & H Eye Care, LLC | Optometrist | 3553 Richland Ave W Ste 136, Aiken, SC 29801-6414 | 2011-10-20 |
| 1003104365 | Sandra K Jones | Optometrist | 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 | 2011-07-20 |
| 1083803316 | Csra Eye Partners | Optometrist | 3553 Richland Ave W, Suite 136, Aiken, SC 29801-3089 | 2007-10-23 |
| 1659498897 | Clifton Clark Boyd | Optometrist | 724 Richland Ave W, Aiken, SC 29801-3832 | 2007-03-23 |
| 1548286107 | Matthew S Haubert | Optometrist | 1051 Silver Bluff Rd Ste A, Aiken, SC 29803-5855 | 2006-07-15 |
| 1497717433 | Christopher Cutright | Optometrist | 792 Silver Bluff Rd, Aiken, SC 29803 | 2006-04-05 |
| 1881060697 | Kaitlin Mayo Hawkins | Optometrist | 1055 Silver Bluff Rd Ste A, Aiken, SC 29803-5884 | 2015-08-16 |
| 1417333634 | Cheryl Lynn Wiltse | Optometrist | 1055 Silver Bluff Rd Ste A, Aiken, SC 29803-5884 | 2015-08-11 |
| 1780939041 | Shivali P Desai | Optometrist | 1055 Silver Bluff Rd Ste A, Aiken, SC 29803-5884 | 2012-07-23 |
| Find all providers in AIKEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.