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Contact Information

FULPS FAMILY EYE CARE, LLC
3300 S ASPEN AVE STE D
BROKEN ARROW, OK74012
 Phone: 918-451-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for FULPS FAMILY EYE CARE LLC · (Female)

NPI # 1699262386
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2018
Last updated 08/03/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 2924
  • OK Medicaid 200737030A
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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