Organization
FULTON EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN FULTON O.D. (OPTOMETRIST)
(405) 795-2015
Entity
Organization
Contact information
Practice address
12009 SILVER SUN DR, OKLAHOMA CITY, OK 73162-1061
(405) 795-2015
Mailing address
12009 SILVER SUN DR, OKLAHOMA CITY, OK 73162-1061
(405) 795-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2559
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200198100A
—
OK
01
—
OKB5097
MEDICARE GP PIN
OK
Enumeration date
08/27/2010
Last updated
08/27/2010
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