Fuller Optical, Llc

LBN: Fuller Optical, Llc
Fuller Optical, Llc is an health care organization with primary practice located at 210 2Nd Ave Se , Cullman AL 35055-3514. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Fuller Optical, Llc can be contacted via phone (256) 734-1121, or through Fuller, Wayne B via phone (256) 734-1121.

Contact Information

Primary practice address
210 2Nd Ave Se Cullman AL 35055-3514
Phone: (256) 734-1121
Fax: (256) 734-1991
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Wayne B Doctor of Optometry (OD)
Phone: (256) 734-1121

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X S320TA285 Alabama

Profile Details

NPI number 1093071193
LBN Legal business name Fuller Optical, Llc
DBA Doing business as
Authorized official Fuller, Wayne B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2012
Last updated Apr 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093071193 NPPES
Alabama Other 051554145 MEDICARE PTAN

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