Ryan Fuller, OD
Optometrist in Dover, NH. Individual provider (NPI-1).
NPI number1982157624
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1982157624
- Entity type
- Individual (NPI-1)
- Name
- Ryan Fuller
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2016
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0932 | NH | Yes |
Practice location
827 Central Ave Ste 3Dover, NH 03820-2577
Phone 603-343-1123 · Fax 603-343-1405
Mailing address
1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone 703-847-8899 · Fax 571-223-6780
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