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

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