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
Phone: (901) 722-3319
Fax: (901) 722-3394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | T1170 | Tennessee |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | T1170 | Tennessee |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | T1170 | Tennessee |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | T1170 | Tennessee |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | T1170 | Tennessee |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | T1170 | Tennessee |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | T1170 | Tennessee |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023087632 | NPPES |
Tennessee | Other | 001916913 | BC BS OF TN |
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