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Contact Information

FULLERTON VISION LLC
4959 W FULLERTON AVE
CHICAGO, IL60639-2505
 Phone: 630-340-8095
 Fax: 888-901-2240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for FULLERTON VISION LLC

NPI # 1346713344
LBN Legal business name FULLERTON VISION LLC
Authorized official MATTHEW MCNEAR - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2019
Last updated 01/02/2019 - About 7 years ago
Identifiers n/a
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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