Individual
DR. BRIDGETTE D FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
925 STARWOOD DR, CEDAR PARK, TX 78613-4325
(512) 327-7000
(512) 259-3802
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001388
VA
152W00000X
Optometrist
Primary
6991TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263010YMP3
MEDICARE
TX
Enumeration date
04/26/2006
Last updated
06/30/2025
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