Ryan Fullen, OD
NPI 1245528389 · Optometrist · Manning, SC
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Fullen, OD is a Optometrist provider in Manning, SC (NPI 1245528389).
Provider details
- NPI number
- 1245528389
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1659 (SC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-11
- Last updated
- 2015-03-03
Frequently asked questions
- What is Ryan Fullen's NPI number?
- Ryan Fullen's National Provider Identifier (NPI) is 1245528389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Fullen's specialty?
- Ryan Fullen is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Ryan Fullen located?
- Ryan Fullen's practice location on file with NPPES is 1774 Paxville Hwy, Manning, SC 29102-5071.
- What is Ryan Fullen's phone number?
- The practice phone number listed in the NPPES registry for Ryan Fullen is (803) 435-2494.
- Does Ryan Fullen accept Medicare?
- Ryan Fullen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Fullen's NPI active?
- Yes — Ryan Fullen's NPI (1245528389) is active in the NPPES registry as of the last update on 2015-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.