DR. WAYNE B FULLER (O.D.) – Optometrist, NPI 1689761041

DR. WAYNE B FULLER (O.D.) is a healthcare provider. based in Cullman, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S320TA285 (AL). The NPI Number for DR. WAYNE B FULLER (O.D.) is 1689761041

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE B FULLER (O.D.)
NPI
1689761041
Phone
(256) 734-1121
Address
210 2ND AVE SE
Enumeration Date
6 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2567341121
Graduation Year
1970 (56 years ago)
PAC ID
1355518770
Professional Enrollment ID
I20120125000278
Address ID
AL350553514CU210XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

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Provider Addresses for DR. WAYNE B FULLER (O.D.)

  • 210, 2nd Avenue Southeast, Cullman, Cullman County, Alabama, 35055, United States

    P. O. BOX 1067

    CULLMAN, AL 350553514

    Phone: (256) 734-1121

    Fax: (256) 734-1991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Glaukos Corporation ($151).

Total Amount

$151

General + Research + Ownership

Payments

1

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$151
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120125000278IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1918$0
View full utilization report →

Insurance plans in this area (ZIP 35055)

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Reviews

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Frequently asked questions

What is DR. WAYNE B FULLER (O.D.)'s NPI number?
DR. WAYNE B FULLER (O.D.)'s NPI is 1689761041 — the number used across U.S. healthcare to identify this provider.
Is DR. WAYNE B FULLER (O.D.) shown as active in public data?
Registry records indicate DR. WAYNE B FULLER (O.D.) maintains an active NPI.
How would a patient describe DR. WAYNE B FULLER (O.D.)'s focus?
For DR. WAYNE B FULLER (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WAYNE B FULLER (O.D.)?
Directory geography for DR. WAYNE B FULLER (O.D.) centers on Cullman, Alabama.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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