Dr Daniel Gunn Fuller, OD - Medicare Optometrist in Memphis, TN

Dr Daniel Gunn Fuller, OD is a medicare enrolled "Optometrist" provider in Memphis, Tennessee. He went to University Alabama Birmingham - School Of Optometry and graduated in 1984 and has 40 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southern College Of Optometry and his current practice location is 1225 Madison Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 722-3319.

Dr Daniel Gunn Fuller is licensed to practice in Tennessee (license number T1170) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023087632.

Contact Information

Dr Daniel Gunn Fuller, OD
1225 Madison Ave,
Memphis, TN 38104-2211
(901) 722-3319
(901) 722-3394

Map and Direction




Healthcare Provider's Profile

Full NameDr Daniel Gunn Fuller
GenderMale
SpecialityOptometry
Experience40 Years
Location1225 Madison Ave, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Gunn Fuller attended and graduated from University Alabama Birmingham - School Of Optometry in 1984
  NPI Data:
  • NPI Number: 1023087632
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 07/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2860392842
  • Enrollment ID: I20040113000692

Medical Identifiers

Medical identifiers for Dr Daniel Gunn Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023087632NPI-NPPES
001916913OtherTNBC BS OF TN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist T1170 (Tennessee)Primary
152WC0802XOptometrist - Corneal And Contact Management T1170 (Tennessee)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation T1170 (Tennessee)Secondary
152WP0200XOptometrist - Pediatrics T1170 (Tennessee)Secondary
152WS0006XOptometrist - Sports Vision T1170 (Tennessee)Secondary
152WV0400XOptometrist - Vision Therapy T1170 (Tennessee)Secondary
152WX0102XOptometrist - Occupational Vision T1170 (Tennessee)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern College Of Optometry458755045460

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Daniel Gunn Fuller allows following entities to bill medicare on his behalf.
Provider NameSouthern College Of Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851384986
PECOS PAC ID: 4587550454
Enrollment ID: O20040226000558

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel Gunn Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Daniel Gunn Fuller, OD
1225 Madison Ave,
Memphis, TN 38104-2211

Ph: (901) 722-3319
Dr Daniel Gunn Fuller, OD
1225 Madison Ave,
Memphis, TN 38104-2211

Ph: (901) 722-3319

Reviews and Comments


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Dr. Michael T Christensen, O.D.
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Phone: 901-722-3250    Fax: 901-722-3247
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Phone: 901-363-7739    Fax: 901-363-7665

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.