Paul Fulghum Od Pa is a Optometrist Center in Jacksonville, Florida. It is situated at 4225 Lakeside Dr, Jacksonville and its contact number is 904-387-5704. The authorized person of Paul Fulghum Od Pa is Paul Fulghum
who is Owner of the clinic and their contact number is 904-387-5704. Primary license number for Paul Fulghum Od Pa is OPC1834 (Optometrist) in Florida. Paul Fulghum Od Pa Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Paul Fulghum Od Pa Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Paul Fulghum
Position:
Owner
Contact Number:
904-387-5704
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Paul Fulghum Od Pa Center are as mentioned below.
NPI Number:
1861644379
NPI Enumeration Date:
15 Oct, 2008
NPI Last Update On:
03 Nov, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Fulghum Od Pa are as mentioned below.
Specialization
License Number
State
Status
Optometrist
OPC1834
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
086592300
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Paul Fulghum Od Pa 4225 Lakeside Dr, Jacksonville, Florida
Zip:
32210-3305
Phone Number:
904-387-5704
Patients can reach Paul Fulghum Od Pa at 4225 Lakeside Dr, Jacksonville, Florida or can call to book an appointment on 904-387-5704. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.