MEDICARE: DR. DESTINY DENISE FOULK OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1741	KS
2	152WC0802X	Corneal and Contact Management Optometrist	1741	KS
3	152WL0500X	Low Vision Rehabilitation Optometrist	1741	KS
4	152WP0200X	Pediatric Optometrist	1741	KS
5	152WS0006X	Sports Vision Optometrist	1741	KS
6	152WV0400X	Vision Therapy Optometrist	1741	KS
7	152WX0102X	Occupational Vision Optometrist	1741	KS

General Provider Information

NPI Number	:	1144311218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DESTINY DENISE FOULK OD

Provider Business Mailing Address
First Line	:	624 S NATIONAL AVE
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-1317
Country	:	US
Telephone Number	:	620-223-6440
Fax Number	:	620-223-6998

Provider Business Practice Location Address
First Line	:	624 S NATIONAL AVE
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-1317
Country	:	US
Telephone Number	:	620-223-6440
Fax Number	:	620-223-6998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1225034713 — DR. STEVE C MITCHELL SR. OD
Practice Location Address:

624 S NATIONAL AVE
FORT SCOTT, KS
66701-1317

Practice Phone: 620-223-6440
Practice Fax: 620-223-6988

1720098643 — DR, STEVE C. MITCHELL, SR.
Practice Location Address:

624 S NATIONAL AVE
FORT SCOTT, KS
66701-1317

Practice Phone: 620-223-6440
Practice Fax: 620-223-6988

1831314459 — EYE CENTER OF FORT SCOTT
Practice Location Address:

624 S NATIONAL AVE
FORT SCOTT, KS
66701-1317

Practice Phone: 620-223-6440
Practice Fax: 620-223-6988

1659596278 — EYE CENTER OF FORT SCOTT
Practice Location Address:

624 S NATIONAL AVE
FORT SCOTT, KS
66701-1317

Practice Phone: 620-223-6440
Practice Fax: 620-223-6988

1336818517 — KARSON NICOLE HOAGLAND PA
Practice Location Address:

4771 S CLEVELAND AVE
FORT MYERS, FL
33907-1317

Practice Phone: 239-343-9800
Practice Fax: 239-343-9848

1487658316 — MRS. SUSAN MARIE MALLONE-STEAD APRN
Practice Location Address:

4751 S CLEVELAND AVE
FORT MYERS, FL
33907-1317

Practice Phone: 239-343-9888
Practice Fax: 239-343-9868

Directions to “ DR. DESTINY DENISE FOULK OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.