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Active NPI 1962436121 Individual Practitioner Male Practitioner

Dr. Paul Fulghum , OD PA

Optometrist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Paul Fulghum, OD PA is a registered healthcare professional specializing in Optometrist in Jacksonville, FL. Practice services are available at 4225 LAKESIDE DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4225 Lakeside Dr

Jacksonville, FL 322103305

Telephone 9043875704
Fax 9043875751
Associated Practice Facility / Clinic
🏢 Paul Fulghum Od Pa Facility NPI 1861644379

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
180 Specialists

Practicing in Jacksonville, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
108 67 $120.19 $88.27
92014 Established patient complete exam of visual system
94 94 $165.32 $119.40
92083 Exam of visual field with extended testing
37 37 $120.00 $59.83
92133 Imaging of optic nerve
34 30 $100.00 $32.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 21 $190.00 $124.52
92250 Photography of the retina
19 18 $130.00 $34.13
66984 Removal of cataract with insertion of lens
14 11 $830.00 $97.12
92004 New patient complete exam of visual system
12 12 $195.00 $141.76

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 1834

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
086952300 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1073515284

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2010

Registered at 4225 LAKESIDE DR, JACKSONVILLE, FL 322103305 (Tel: 9043875704)

📍
Updated Business Mailing Address October 21, 2010

Registered at 4225 LAKESIDE DR, JACKSONVILLE, FL 322103305 (Tel: 9043875704)

👤
Provider Name / Credentials Updated October 21, 2010

Recorded as PAUL FULGHUM, OD PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2010

Optometrist (License #1834 in FL)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962436121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: November 29, 2023
Sole Proprietor: Yes

Mailing Address

4225 Lakeside Dr

Jacksonville, FL 322103305

Phone: 9043875704

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.