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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

NPI # 1699262386
LBN Legal business name FULPS FAMILY EYE CARE, LLC
Authorized official CALEN FULPS - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2018
Last updated 08/03/2018 - About 8 years ago
Identifiers
OK License # 2924
OK Medicaid 200737030A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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