Michael D. Fulford, Pa

LBN: Michael D. Fulford, Pa
Michael D. Fulford, Pa is an health care organization with primary practice located at 304 Laurens St Nw , Aiken SC 29801-3997. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael D. Fulford, Pa can be contacted via phone (803) 649-9561, or through Fulford, Michael Dennis via phone (803) 649-9561.

Contact Information

Primary practice address
304 Laurens St Nw Aiken SC 29801-3997
Phone: (803) 649-9561
Fax: (803) 649-2664
Website:
Map and Directions
Authorized official contact:
Name: Fulford, Michael Dennis Doctor of Optometry (OD)
Phone: (803) 649-9561

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 517 South Carolina

Profile Details

NPI number 1154489573
LBN Legal business name Michael D. Fulford, Pa
DBA Doing business as
Authorized official Fulford, Michael Dennis Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated May 4th, 2012 - about 12 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 1154489573 NPPES
South Carolina Other T250179184 MEDICARE PTAN
South Carolina MEDICAID DA9643 MEDICARE PTAN
South Carolina Other DS1538 MEDICARE PTAN

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