Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua R Fullmer MD PLLC

Organization Ophthalmology Physician · NPI 1881894517

Joshua R Fullmer MD PLLC is an Ophthalmology Physician in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

381 E 4th N Ste 100
Rexburg, ID 83440-1684
Phone: (208) 359-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence M-9786 (ID)

Record details

NPI number1881894517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzzette Thatcher — Business Manager · (208) 359-1888
NPI enumeratedJuly 20, 2007
Last updated in NPPESJuly 20, 2007
Mailing address381 E 4th N Ste 100, Rexburg, ID 83440-1684

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