Shelia A. Fuller, O.d., L.l.c

NPI #1043578875 in Ontario, Ohio

Provider Information

NPI Number: 1043578875
Entity Type: Organization
Organization Name: Shelia A. Fuller, O.d., L.l.c
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 339 N LEXINGTON SPRINGMILL RD
City: Ontario
State: Ohio
ZIP Code: 44906-1218
Phone: (419) 525-2060

Authorized Official

Name: SHELIA FULLER
Title: PRESIDENT
Phone: (419) 525-2060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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