MEDICARE: DR. SCOTT DOUGLAS FULDAUER O.D.

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	3733	OH

General Provider Information

NPI Number	:	1497745335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT DOUGLAS FULDAUER O.D.

Provider Business Mailing Address
First Line	:	20670 JOHN CARROLL BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4535
Country	:	US
Telephone Number	:	216-371-3242
Fax Number	:

Provider Business Practice Location Address
First Line	:	20670 JOHN CARROLL BLVD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	216-534-4648
Fax Number	:

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

Provider Enumeration Date	:	10/23/2005
Last Update Date	:	08/12/2018

Similar Medicare Providers

1538050380 — ICARE THERAPY OH LLC
Practice Location Address:

2375 S BELVOIR BLVD
UNIVERSITY HEIGHTS, OH
44118-4652

Practice Phone: 303-954-9446
Practice Fax:

1982603320 — DR. ARTHUR ROBERT NEWMAN O.D.
Practice Location Address:

13960 CEDAR RD
UNIVERSITY HEIGHTS, OH
44118-3204

Practice Phone: 216-371-8330
Practice Fax: 216-371-2303

1114904729 — TYLER K STEVENS M.D.
Practice Location Address:

4095 MEADOWBROOK BLVD
UNIVERSITY HEIGHTS, OH
44118-3854

Practice Phone: 216-371-4171
Practice Fax:

1003893025 — DR. HENRY R BLOOM MD
Practice Location Address:

20620 JOHN CARROLL BLVD , SUITE 208
UNIVERSITY HEIGHTS, OH
44118-4540

Practice Phone: 216-321-9703
Practice Fax: 216-321-9704

1366421224 — DR. RONALD WAYNE ORR JR. D.D.S.
Practice Location Address:

13494 CEDAR RD
UNIVERSITY HEIGHTS, OH
44118-2636

Practice Phone: 216-932-9400
Practice Fax: 216-932-9454

1407835374 — DR. PATRICIA ANN WILSON D.D.S.
Practice Location Address:

13494 CEDAR RD
UNIVERSITY HEIGHTS, OH
44118-2636

Practice Phone: 216-932-9400
Practice Fax: 216-932-9454

Directions to “ DR. SCOTT DOUGLAS FULDAUER O.D.” 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 © 2007-2025 (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.