John Robert Fults, O.D.

NPI #1083777890 in Bloomington, Illinois

Provider Information

NPI Number
1083777890
Entity Type
Individual
Name
John Robert Fults, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1631 E EMPIRE ST
ZIP Code
61701-3531
Phone
(309) 662-4074

Specialties & Taxonomy Codes

Specialty
Optometrist

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