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

Individual provider Optometrist · NPI 1073362190

Dominique Noelle Fulk, OD is an Optometry in Pikeville, Kentucky. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2022, 4 years ago. Practices with University of Pikeville, a 19-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
KY
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

147 Sycamore St Ofc 401B
Pikeville, KY 41501-9118
Phone: (606) 218-5836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2377DT (KY)

Record details

NPI number1073362190
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Group practice University Of Pikeville — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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