Fuller, Thomas
Fuller, Thomas is an sole proprietor health care provider with primary practice located at 2B Haw Creek Ln , Asheville NC 28805-2250. He recently has 3 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 / Optometrist is his primary health care specialty. Fuller, Thomas can be contacted via phone (828) 298-0854.Contact Information
Primary practice address
2B Haw Creek Ln
Asheville NC 28805-2250
Phone: (828) 298-0854
Fax: (828) 298-2738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1477 | North Carolina |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1477 | North Carolina |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1477 | North Carolina |
Profile Details
| NPI number | 1154379766 |
|---|---|
| LBN Legal business name | Fuller, Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 22nd, 2011 - about 13 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 | 1154379766 | NPPES |
| North Carolina | Other | 22-71413 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 890907H | UNITED HEALTHCARE |
| North Carolina | Other | 0907H | UNITED HEALTHCARE |
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