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

Individual provider Optometrist · NPI 1699386755

Dr. Robert Dillon Fullenwider, OD is an Optometry in Highland, Illinois. Graduated from Ohio State University - College of Optometry in 2020, 6 years ago. Practices with Nucrown, LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Ohio State University - College of Optometry
Licensed in
IL
In the registry since
2020
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

823 9th St
Highland, IL 62249-1521
Phone: (618) 654-9848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011435 (IL)

Record details

NPI number1699386755
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 12, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address1412 Doris Ave, Cahokia, IL 62206-2234

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Nucrown, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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