Fulton, Robert Allen

Fulton, Robert Allen is an sole proprietor health care provider with primary practice located at 402 W Chickasha Ave , Chickasha OK 73018-2504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fulton, Robert Allen can be contacted via phone (405) 224-3937.

Contact Information

Primary practice address
402 W Chickasha Ave Chickasha OK 73018-2504
Phone: (405) 224-3937
Fax: (405) 224-4375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2559 Oklahoma

Profile Details

NPI number 1851547301
LBN Legal business name Fulton, Robert Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2008
Last updated Dec 16th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851547301 NPPES
Oklahoma Other OKAAA2511 MEDICARE INDIVIDUAL PTAN
Oklahoma Other OKAAA2512 MEDICARE INDIVIDUAL PTAN
Oklahoma Other 20-5009490 MEDICARE INDIVIDUAL PTAN

Popular Providers