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Contact Information

LUKE G FULLENKAMP, OD
11711 PRINCETON PIKE UNIT 941
CINCINNATI, OH45246-2500
 Phone: 513-671-0933
 Fax: 513-671-0944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for LUKE G FULLENKAMP · (Male)

NPI Number 1619191368
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/12/2007
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3451 T444
  • OH License # 3451T444
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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