Fuller Vision, LLC
NPI 1215655915ActiveOrganization· Optometrist· Gulfport, MS
Optometrist in Gulfport, Mississippi, registered in NPPES in August 2022. The authorized official on file is Jay Andrew Fuller, O.D., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215655915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2022 |
| Last updated in NPPES | Dec 30, 2022 |
| Certified by provider | Dec 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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