NPIMap

Organization Active NPI

Donald S Fulton OD

  • Eyewear Supplier
  • Monroe, CT
National Provider Identifier
1073752176
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
765 Issued in CT
Legal business name
DONALD S FULTON OD
Practice address
471 Monroe Tpke
Suite 200
Monroe, CT 06468-2338
Phone
(203) 261-5783
Fax
(203) 268-7036
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald S Fulton, OD
Title
Owner/Provider
Phone
(203) 261-5783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 765 CT Primary

Addresses

Primary practice location

471 Monroe Tpke
Suite 200
Monroe, CT 06468-2338

Mailing address

471 Monroe Tpke
Suite 200
Monroe, CT 06468-2338
Phone (203) 261-5783

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1073752176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 MONROE TPKE",
            "address_2": "SUITE 200",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682338",
            "telephone_number": "203-261-5783",
            "fax_number": "203-268-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MONROE TPKE",
            "address_2": "SUITE 200",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682338",
            "telephone_number": "203-261-5783",
            "fax_number": "203-268-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S FULTON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "203-261-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.