NPI 1003393653

Teri Fullmer, ABO

Practitioner Optician Boise, ID

Practice location

Address: 7447 W Emerald St STE 105, Boise, ID 83704-5003
Phone: (208) 322-1642
Fax: (208) 378-4179

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Idaho →

Registry record

NPI: 1003393653
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2018
Record last updated: 26 Jul 2018

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.