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

Dr. Ryan Tyler Fullen, OD

Individual provider Optometrist · NPI 1245528389

Dr. Ryan Tyler Fullen, OD is an Optometrist in Manning, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2011
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

1774 Paxville Hwy
Manning, SC 29102-5071
Phone: (803) 435-2494
Fax: (803) 435-8765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1659 (SC)

Record details

NPI number1245528389
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 11, 2011
Last updated in NPPESMarch 3, 2015
Mailing address8096 Rivers Ave, North Charleston, SC 29406-9235

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