NPI age
18 years
Enumerated 2007-07-20
● Active Type 2 · Organization
Joshua R Fullmer MD Pllc
Joshua R Fullmer MD Pllc is 1 of 122 ophthalmology organizations in Idaho.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thatcher
Business Manager
Last NPPES update
2007-07-20
Source: monthly bulk 2026-05
How this organization compares
Across 122 active ophthalmology providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
381 E 4th N Ste 100
Rexburg, ID 834401684
Mailing address
381 E 4th N Ste 100
Rexburg, ID 834401684
Authorized official
Suzzette Thatcher
Business Manager
📞 2083591888
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Dwayne Hansen, DO Surgery NPI 1871013938
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.