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Active NPI 1215071949 Individual Practitioner Male Practitioner

Dr. Michael J Fullerton , OD

Optometrist • Pryor, OK

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fullerton, OD is a registered healthcare professional specializing in Optometrist in Pryor, OK. Practice services are available at 202 S ADAIR ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

202 S Adair St

Pryor, OK 743615202

Telephone 9188250055
Fax 9188242000

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pryor, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Pryor, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.7% 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
92014 Established patient complete exam of visual system
51 51 $90.00 $88.90
99213 Established patient office or other outpatient visit, typically 15 minutes
28 28 $65.00 $64.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 23 $45.74 $42.23

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 877

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
100764830A (OK)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 25, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2009

Registered at 202 S ADAIR ST, PRYOR, OK 743615202 (Tel: 9188250055)

📍
Updated Business Mailing Address March 25, 2009

Registered at PO BOX 1400, PRYOR, OK 743621400 (Tel: 9188250055)

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Provider Name / Credentials Updated March 25, 2009

Recorded as MICHAEL FULLERTON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2009

Optometrist (License #877 in OK)

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Initial NPI Registration & Enumeration February 16, 2007

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: 1215071949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: March 25, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 1400

Pryor, OK 743621400

Phone: 9188250055

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.