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Active NPI 1245528389 Individual Practitioner Male Practitioner

Dr. Ryan Tyler Fullen , OD

Optometrist • Manning, SC

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Fullen, OD is a registered healthcare professional specializing in Optometrist in Manning, SC. Practice services are available at 1774 PAXVILLE HWY under active NPI credentials.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1774 Paxville Hwy

Manning, SC 291025071

Telephone 8034352494
Fax 8034358765
Associated Practice Facility / Clinic
🏢 Clarendon Eye Center P A Facility NPI 1174619423

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Manning, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Manning, SC (788 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.7% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
14 14 $176.00 $143.17

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License SC 1659

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1255825709

Doctor of Optometry

NPI 1326040536

Doctor of Optometry

NPI 1376161703

Doctor of Optometry

NPI 1851763726

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 March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 1774 PAXVILLE HWY, MANNING, SC 291025071 (Tel: 8034352494)

📍
Updated Business Mailing Address March 03, 2015

Registered at 8096 RIVERS AVE, NORTH CHARLESTON, SC 294069235 (Tel: 8438182020)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as RYAN FULLEN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Optometrist (License #1659 in SC)

🟢
Initial NPI Registration & Enumeration July 11, 2011

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: 1245528389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2011
Last Update: March 03, 2015
Sole Proprietor: Yes

Mailing Address

8096 Rivers Ave

North Charleston, SC 294069235

Phone: 8438182020

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.