| NPI | 1457924607 |
|---|---|
| Doing Business As | FULTON FAMILY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | KEITH R FULTON Manager 724-244-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1202X Technician/Technologist, Optometric Technician |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |