NPI 1023087632

Daniel Gunn Fuller, OD

Practitioner Optometrist Memphis, TN

Practice location

Address: 1225 Madison Ave, Memphis, TN 38104-2211
Phone: (901) 722-3319
Fax: (901) 722-3394

Registered specialties (7)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T1170 (TN)

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Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence T1170 (TN)

Sports Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WS0006X Licence T1170 (TN)

Vision Therapy Optometrist

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Occupational Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WX0102X Licence T1170 (TN)

Registry record

NPI: 1023087632
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2006
Record last updated: 12 Jul 2010

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.