DONALD S FULTON OD; NPI #1073752176

Contact Information

DONALD S FULTON OD

471 MONROE TPKE
SUITE 200
MONROE, CT 06468-2338

Phone: 203-261-5783
Fax: 203-268-7036
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

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NPI Profile & details for DONALD S FULTON OD

NPI # 1073752176

LBN Legal business name DONALD S FULTON OD

Authorized official DONALD FULTON - (OWNER/PROVIDER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/12/2009

Last updated 11/04/2010 - About 16 years ago

Identifiers

License #

765

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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DONALD S FULTON OD

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for DONALD S FULTON OD

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