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Contact Information

FULLER OPTICAL, LLC
210 2ND AVE SE
CULLMAN, AL35055-3514
 Phone: 256-734-1121
 Fax: 256-734-1991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for FULLER OPTICAL, LLC

NPI Number 1093071193
LBN Legal business name FULLER OPTICAL, LLC
Authorized official WAYNE FULLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2012
Last updated 04/03/2012 - About 14 years ago
Identifiers
AL License # S320TA285
AL Other 051554145 MEDICARE PTAN
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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