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

Dr. Daniel Gunn Fuller, OD

Individual provider Optometrist · NPI 1023087632

Dr. Daniel Gunn Fuller, OD is an Optometry in Memphis, Tennessee. Graduated from University Alabama Birmingham - School of Optometry in 1984, 42 years ago. Practices with Southern College of Optometry, a 56-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
42
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
TN
In the registry since
2006
Specialties on file
7
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

1225 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3319
Fax: (901) 722-3394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T1170 (TN)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence T1170 (TN)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence T1170 (TN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence T1170 (TN)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence T1170 (TN)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence T1170 (TN)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence T1170 (TN)

Record details

NPI number1023087632
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJuly 12, 2010
Mailing address1225 Madison Ave, Memphis, TN 38104-2211

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 1984 (42 years in practice)
Group practice Southern College Of Optometry — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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