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

Individual provider Optometrist · NPI 1528732500

Madeline Fullerton, OD is an Optometry in Roxbury, Massachusetts. Graduated from New England College of Optometry in 2021, 5 years ago. Practices with Ophthalmic Consultants of Boston Inc, a 69-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Trained at
New England College of Optometry
Licensed in
MA
In the registry since
2021
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

45 Dimock St
Roxbury, MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 427-4566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5475 (MA)

Record details

NPI number1528732500
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateJune 14, 2021
Mailing address55 Dimock St, Roxbury, MA 02119-1029

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Ophthalmic Consultants Of Boston Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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