OrganizationActive
Paul Fulghum OD PA
NPI 1861644379 · Optometrist · Jacksonville, FL
Paul Fulghum OD PA is a Optometrist organization in Jacksonville, FL (NPI 1861644379).
Provider details
- NPI number
- 1861644379
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paul Fulghum, Owner(904) 387-5704
- License
- OPC1834 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4225 Lakeside Dr
Jacksonville, FL 32210-3305
Phone: (904) 387-5704
Street-level locationGet directions
Mailing address
4225 Lakeside Dr
Jacksonville, FL 32210-3305
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2010-11-03
Frequently asked questions
- What is Paul Fulghum OD PA's NPI number?
- Paul Fulghum OD PA's National Provider Identifier (NPI) is 1861644379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul Fulghum OD PA?
- Paul Fulghum OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Paul Fulghum OD PA located?
- Paul Fulghum OD PA's practice location on file with NPPES is 4225 Lakeside Dr, Jacksonville, FL 32210-3305.
- What is Paul Fulghum OD PA's phone number?
- The practice phone number listed in the NPPES registry for Paul Fulghum OD PA is (904) 387-5704.
- Who is the authorized official for Paul Fulghum OD PA?
- The authorized official listed on Paul Fulghum OD PA's NPPES record is Paul Fulghum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul Fulghum OD PA's NPI active?
- Yes — Paul Fulghum OD PA's NPI (1861644379) is active in the NPPES registry as of the last update on 2010-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.