DR. BRIDGETTE D FULLER (OD) – Optometrist, NPI 1528025582

DR. BRIDGETTE D FULLER (OD) is a healthcare provider. based in Georgetown, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618001388 (VA). The NPI Number for DR. BRIDGETTE D FULLER (OD) is 1528025582

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIDGETTE D FULLER (OD)
NPI
1528025582
Phone
(877) 800-5722
Address
2423 WILLIAMS DR STE 113
Enumeration Date
26 April 2006
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5122482424
Graduation Year
1997 (29 years ago)
PAC ID
2163495276
Group Practice PAC ID
4486985678
Professional Enrollment ID
I20090302000390
Address ID
TX786643000RO501XXBLVD500

Contacts

Secure Messaging
drfuller@mccormickvision.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

3,128 OPTOMETRY in TX

Provider Addresses for DR. BRIDGETTE D FULLER (OD)

  • 2423 WILLIAMS DR STE 113

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Fax: (512) 864-2668

    Type: Location

  • 2423 WILLIAMS DR STE 107

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Type: Mailing

  • 925 STARWOOD DR

    CEDAR PARK, TX 786134325

    Phone: (512) 327-7000

    Fax: (512) 259-3802

    Type: Location

  • 12701 RESEARCH BLVD STE 101

    AUSTIN, TX 787594325

    Phone: (512) 258-2020

    Fax: (512) 258-7835

    Type: Mailing

  • 200, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States

    GEORGETOWN, TX 786266821

    Phone: (877) 800-5722

    Fax: (512) 869-2940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $932.

Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($427).

Total Amount

$932

General + Research + Ownership

Payments

16

Total payment records

General Amount

$932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-03-02

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
I20090302000390IOptometryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78628)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486985678View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRIDGETTE D FULLER (OD)'s NPI?
Yes. DR. BRIDGETTE D FULLER (OD) is listed with NPI 1528025582 in the public NPI dataset.
Is DR. BRIDGETTE D FULLER (OD) listed as active for patients and plans?
The listing shows DR. BRIDGETTE D FULLER (OD) as active in the NPI system.
What is DR. BRIDGETTE D FULLER (OD)'s primary classification?
Optometrist is the headline specialty for DR. BRIDGETTE D FULLER (OD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BRIDGETTE D FULLER (OD)?
DR. BRIDGETTE D FULLER (OD)'s geographic hint is Georgetown, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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