Paul Fulghum

OD PA | Optometrist | 41+ years Exp


  
4225 Lakeside Dr, Jacksonville
Florida, 32210-3305

 904-387-5704     904-387-5751Maps & Directions
Paul Fulghum is a Jacksonville, Florida based male Optometrist with 41 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Paul Fulghum is 1834 for Optometry in Florida.
Paul Fulghum 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Paul Fulghum speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: OD PA
Experience: 41+ years
Medical School Attended:Southern College Of Optometry
Graduation Year:1983
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:4225 Lakeside Dr, Jacksonville,
Florida, 32210-3305
Phone:904-387-5704
Fax:904-387-5751
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 are as mentioned below.
PAC ID: 5597958629
Enrollment ID: I20101025000735
NPI Number: 1962436121
NPI Enumeration Date: 11 Jul, 2006
NPI Last Update On: 29 Nov, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Fulghum are as mentioned below.
License NumberSpecializationStateStatus
1834Optometry FloridaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Paul Fulghum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
086952300MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 4225 Lakeside Dr,
Jacksonville, Florida
Zip: 32210-3305
Phone Number: 904-387-5704
Fax Number: 904-387-5751
Patients can reach Paul Fulghum 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 09 September, 2024.
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