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

Paul Fulghum OD PA

Organization Optometrist · NPI 1861644379

Paul Fulghum OD PA is an Optometrist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4225 Lakeside Dr
Jacksonville, FL 32210-3305
Phone: (904) 387-5704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC1834 (FL)

Record details

NPI number1861644379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Fulghum — Owner · (904) 387-5704
NPI enumeratedOctober 15, 2008
Last updated in NPPESNovember 3, 2010
Mailing address4225 Lakeside Dr, Jacksonville, FL 32210-3305

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