Individual
KRISTEN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 COMMERCIAL ST, ROCKPORT, ME 04856-3801
(207) 594-9555
Mailing address
1100 COMMERCIAL ST, ROCKPORT, ME 04856-3801
(207) 594-9555
(207) 594-2410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1090
ME
152W00000X
Optometrist
Primary
6995
OH
Other
Enumeration date
04/26/2021
Last updated
01/12/2026
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