Lisa J Fuller (NPI# 1609899947, PAC ID# 2567467475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609899947 |
| PAC ID by PECOS | 2567467475 |
| Professional Enrollment ID | I20060928000169 |
| Full Name | Lisa J Fuller |
| Organization Legal Name | MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC |
| Address |
505 Retail Way Suite 118 Louisburg NC 27549-6480 |
| Phone Number | 9194961156 |
| Gender | F |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608019096 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 505 Retail Way, Suite 118, Louisburg, NC 27549-6480 | 9194961156 | MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF NORTH CAROLINA PLLC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Wirkus | Optometry | Myeyedr Optometry of North Carolina Pllc | 1525 W Wt Harris Blvd, Charlotte, NC 28288-0001 |
| Caitlin Gabrielia Chanel Burwell | Optometry | Myeyedr Optometry of North Carolina Pllc | 1904 Graham Ave, Henderson, NC 27536-5900 |
| Morgan Noel Graves | Optometry | Myeyedr Optometry of North Carolina Pllc | 499 Greenville Blvd Se, Greenville, NC 27858-6734 |
| Tyler Mcclarnon | Optometry | Myeyedr Optometry of North Carolina Pllc | 8231 Brier Creek Pkwy, Raleigh, NC 27617-7705 |
| Neha K Dalal | Optometry | Myeyedr Optometry of North Carolina Pllc | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 |
| Jenna Roney | Optometry | Myeyedr Optometry of North Carolina Pllc | 2835 S Church St, Burlington, NC 27215-5105 |
| Stephanie Corbin | Ophthalmology | Myeyedr Optometry of North Carolina Pllc | 2346 Walnut St, Cary, NC 27518-9210 |
| Amber Parham | Optometry | Myeyedr Optometry of North Carolina Pllc | 313 Wb Mclean Dr, Cape Carteret, NC 28584-8516 |
| Brittney J Angelo | Optometry | Myeyedr Optometry of North Carolina Pllc | 1823 E Arbors Dr, Suite 325, Charlotte, NC 28262-2662 |
| Mark Miriello | Optometry | Myeyedr Optometry of North Carolina Pllc | 178 Wakelon St, Zebulon, NC 27597-2403 |
| Street Address |
505 RETAIL WAY SUITE 118 |
| City | LOUISBURG |
| State | NC |
| Zip | 27549-6480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Stroud | Optometry | Myeyedr Optometry of North Carolina, Pllc | 505 Retail Way, Louisburg, NC 27549-6480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J King | Internal Medicine | 948 N Main St, Louisburg, NC 27549-2149 | |
| Tariq Abo-kamil | Nephrology | Dlp Maria Parham Physician Practices LLC | 1501 N Bickett Blvd, Suite E, Louisburg, NC 27549-2178 |
| Phillip E Stover | Family Medicine | 1501 N Bickett Blvd, Louisburg, NC 27549-2178 | |
| Connie Hicks | Nurse Practitioner | 109 Jolly St, Louisburg, NC 27549-2239 | |
| Ellen T Leavell | Emergency Medicine | Gem Capital Physicians Pllc | 100 Hospital Dr, Louisburg, NC 27549-2256 |
| Andrew John Krieger | Emergency Medicine | Gem Capital Physicians Pllc | 100 Hospital Dr, Louisburg, NC 27549-2256 |
| William Sayles | Family Medicine | 601 N Bickett Blvd, Louisburg, NC 27549-2313 | |
| Ghassan Al-sabbagh | Internal Medicine | 626 N Bickett Blvd, Louisburg, NC 27549-2314 | |
| Lana J Cooper | Physician Assistant | County of Franklin | 107 Industrial Dr C, Louisburg, NC 27549-2371 |
| Louis D Allen | Pediatric Medicine | County of Franklin | 107 Industrial Dr C, Louisburg, NC 27549-2371 |
| Find all physicians in zip 27549 | |||
| City | LOUISBURG |
| Zip Code | 27549 |
| Specialty | OPTOMETRY |
| City + Specialty | LOUISBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Lisa J Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.