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NPI · 1053667758 · NPPES-sourced

Dr. Jay Fuller O.D.

ActiveOptometrist
NPI Number
1053667758
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(228) 262-0266
License MS · 851
Last Updated
Enumerated
Primary practice addressMS · 39507-3864
2170 E Pass Rd Ste AGulfport, MS 39507-3864
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About this NPIWhat this record shows.

NPI 1053667758 is registered to Dr. Jay Fuller O.D., a Optometrist practising at 2170 E Pass Rd Ste A in Gulfport, Mississippi. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jay Fuller O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jay Fuller O.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Jay Fuller O.D. directly at (228) 262-0266.

Frequently asked

Yes. NPI 1053667758 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (228) 262-0266.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jay Fuller O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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