KRF Vision LLC

Primary specialty

Optometric TechnicianTaxonomy code 156FX1202X

Legal business name

KRF VISION LLC

Doing business as

Fulton Family Optical

Practice address

212 Outlet Way
Greenburg, PA 15650

Phone

(724) 837-7810

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith R FultonNPI 1396293411

Title

Manager

Phone

(724) 244-6984

Specialties & licenses 1

Addresses

Other names 1

• Fulton Family Optical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Fulton

  • Optician
  • Greensburg, PA
  • NPI 1396293411
  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1457924607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OUTLET WAY",
            "city": "GREENBURG",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-837-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OUTLET WAY",
            "city": "GREENBURG",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-837-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRF VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-244-6984"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Family Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Petnuch
• Allen Perry Snyder, MD

• Technician/Technologist in Greenburg, PA
• Providers in Greenburg, PA by specialty
• Technician/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.