Organization
DARLA J FULLER
Active
Other names
Eye Care for You
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA J FULLER (OWNER)
(320) 329-3937
Entity
Organization
Contact information
Practice address
329 N MAIN ST, RENVILLE, MN 56284-0430
(320) 329-3937
(320) 329-3894
Mailing address
PO BOX 430, 329 N. MAIN ST., RENVILLE, MN 56284-0430
(320) 329-3937
(320) 329-3894
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023273
PREFERRED ONE
MN
01
—
103342
HEALTH PARTNERS
MN
01
—
109589
UCARE
MN
01
—
2211871
MEDICA
MN
01
—
3C783EY
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
10/05/2006
Last updated
08/22/2020
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