Fuller, Daniel Gunn

Fuller, Daniel Gunn is an individual health care provider with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fuller, Daniel Gunn can be contacted via phone (901) 722-3319.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Fax: (901) 722-3394
Website:

Profile Details

NPI number 1023087632
LBN Legal business name Fuller, Daniel Gunn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023087632 NPPES
Tennessee Other 001916913 BC BS OF TN

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