| Cathy A Fulp, OD | |
|
10564 N Main St, Ste E, Archdale, NC 27263-2472 | |
| (336) 434-4033 | |
| (336) 434-4035 |
| Full Name | Cathy A Fulp |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 10564 N Main St, Archdale, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902803323 | NPI | - | NPPES |
| 890929A | Medicaid | NC | |
| 0929A | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1388 (North Carolina) | Primary |
| 152WP0200X | Optometrist - Pediatrics | 1388 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Eye Associates Of High Point Od Pa | 1759334360 | 5 |
| Triad Eye Associates Od Pa | 8426010513 | 5 |
| Provider Name | Triad Eye Associates Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649228669 PECOS PAC ID: 8426010513 Enrollment ID: O20041101000720 |
| Provider Name | Triad Eye Associates Of High Point Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255399499 PECOS PAC ID: 1759334360 Enrollment ID: O20080812000190 |
| Provider Name | Triad Eye Associates Of Greensboro Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598072126 PECOS PAC ID: 3779777107 Enrollment ID: O20101029001119 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy A Fulp, OD Po Box 4370, Archdale, NC 27263-4370 Ph: (336) 434-4033 | Cathy A Fulp, OD 10564 N Main St, Ste E, Archdale, NC 27263-2472 Ph: (336) 434-4033 |
Mitchell N Evans, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10564 N Main St Ste E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-4035 | |
Triad Eye Associates Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 10564 N Main St, Suite E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-6680 |