Individual provider · NPI-1

Dr. Bridgette D Fuller, OD

Optometrist · San Marcos, TX

NPI number1528025582
StatusActive
Last updated in NPPESAug 18, 2026

Details

NPI
1528025582
Entity type
Individual (NPI-1)
Name
Dr. Bridgette D Fuller
Credential
OD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2006
Certification date
Aug 18, 2026
Last updated
Aug 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist6991TXYes
152W00000X OptometristI3-0001262DE
152W00000X OptometristOP1000086DC
152W00000X Optometrist0618001388VA
152W00000X OptometristOE008388TPA
152W00000X OptometristTA1500MD

Other names

  • Bridgette D Dowe (Former Name)

Practice location

2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256

Phone 512-754-6161 · Fax 512-754-6197

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Phone 703-847-8899 · Fax 571-223-6780

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