Michael Fullerton (NPI# 1215071949, PAC ID# 9931216710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1215071949 |
| PAC ID by PECOS | 9931216710 |
| Professional Enrollment ID | I20110214000702 |
| Full Name | Michael Fullerton |
| Address |
202 S Adair St Pryor OK 74361-5202 |
| Phone Number | 9188250055 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1974 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 202 S Adair St, Pryor, OK 74361-5202 | 9188250055 |
| Street Address |
202 S ADAIR ST |
| City | PRYOR |
| State | OK |
| Zip | 74361-5202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Martin | Internal Medicine | 122 N Bailey, Pryor, OK 74361 | |
| Steven L Dill | Family Medicine | 114 Dri, Pryor, OK 74361 | |
| Shannon Antoinette Rowland | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 231 E Graham Ave, Pryor, OK 74361-2436 |
| Donald L Peters | Chiropractic | 2 S Mayes St, Pryor, OK 74361-3232 | |
| Arthur L Sixkiller | Chiropractic | 108 S Adair St, Pryor, OK 74361-3602 | |
| Mandy Rutter | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
| Lori M Ormsby | Certified Clinical Nurse Specialist (cns) | Healogics Specialty Physicians of Oklahoma Pllc | 111 N Bailey St, Pryor, OK 74361-4201 |
| David M White | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
| Mania Hill-u | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 109 N Fairland St, Pryor, OK 74361-4203 |
| Brett M Howell | Optometry | Howell Family Eye Care, Inc. | 2 S Rowe St, Pryor, OK 74361-4623 |
| Find all physicians in zip 74361 | |||
| City | PRYOR |
| Zip Code | 74361 |
| Specialty | OPTOMETRY |
| City + Specialty | PRYOR + OPTOMETRY |
Please comment or provide details below to improve the information on Michael Fullerton.
| 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.