Fuller, Jay
Fuller, Jay is an sole proprietor health care provider with primary practice located at 2170 E Pass Rd Ste A , Gulfport MS 39507-3864. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fuller, Jay can be contacted via phone (228) 262-0266.Contact Information
Primary practice address
2170 E Pass Rd Ste A
Gulfport MS 39507-3864
Phone: (228) 262-0266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 851 | Mississippi |
Profile Details
| NPI number | 1053667758 |
|---|---|
| LBN Legal business name | Fuller, Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2012 |
| Last updated | Dec 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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