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John Fults, O.D
NPI 1083777890 · on the registry since 2006
Practice
- Address
- 1631 E Empire St
Bloomington, IL 61701 - Phone
- (309) 662-4074
- Fax
- (309) 662-4074
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois