Full Sail Partners, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FULL SAIL PARTNERS, LLC

Practice address

2177 W Columbia Ave
Battle Creek, MI 49015-2847

Phone

(269) 968-1600

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Matthew Kelleher

Title

Director: New Business Development

Phone

(860) 280-7103

Specialties & licenses 1

Addresses

Tax ID family

Full Sail Partners LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Full Sail Partners

  • Ophthalmology Physician
  • Canal Winchester, OH
  • NPI 1922273226
  NPD tax ID
• Full Sail Partners, LLC

  • Optometrist
  • Plymouth, IN
  • NPI 1235461708
  NPD tax ID

Locations

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1679726798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 W COLUMBIA AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152847",
            "telephone_number": "269-968-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 W COLUMBIA AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152847",
            "telephone_number": "269-968-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SAIL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR: NEW BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "860-280-7103"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Frieben, MSW
• Friend Who Care-Battle Creek, LLC
• William Joseph Fritsch, RPH
• Lauren Frye, PHD
• Samantha Kay Fulkerson, LMSW
• Jeremy Lynn Fuller, FNP-C
• Jerrica Fuller, MA, LPC
• Jermaine Funderburg
• Barbara Ellen Funk, MA LPC CAADC
• Alan Michel Furlan, MD

• Ophthalmology Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.