Tyler Fulton, OD | |
2566 Hubbell Ave, Des Moines, IA 50317-6102 | |
(515) 262-1094 | |
Not Available |
Full Name | Tyler Fulton |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 2566 Hubbell Ave, Des Moines, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770006991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046011134 (Illinois) | Secondary |
152W00000X | Optometrist | 089178 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eyecare Partners Pc | 0749170850 | 5 |
Provider Name | Eyecare Partners Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225093735 PECOS PAC ID: 0749170850 Enrollment ID: O20040319000956 |
Provider Name | M J Howie Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548486434 PECOS PAC ID: 3870698509 Enrollment ID: O20070425000082 |
Mailing Address | Practice Location Address |
---|---|
Tyler Fulton, OD 2566 Hubbell Ave, Des Moines, IA 50317-6102 Ph: () - | Tyler Fulton, OD 2566 Hubbell Ave, Des Moines, IA 50317-6102 Ph: (515) 262-1094 |
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