NPI 1093071193

Fuller Optical, LLC

Organisation Point of Service Cullman, AL

Practice location

Address: 210 2nd Ave SE, Cullman, AL 35055-3514
Phone: (256) 734-1121
Fax: (256) 734-1991

Authorised official

Name: Wayne B Fuller
Title: Owner
Phone: (256) 734-1121

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence S320TA285 (AL)

Other Point of Service providers in Alabama →

Registry record

NPI: 1093071193
Entity type: Organization
NPI issued: 3 Apr 2012
Record last updated: 3 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.