Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IRA BUTLER FULLER III III, MD
ActiveDR. IRA BUTLER FULLER III III, MD is a Ophthalmology healthcare provider located in BOGALUSA, Louisiana. NPI 1134149081 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · BOGALUSA, LA
Registration Details
- NPI Number
- 1134149081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (19.924427137876 yrs)
- Last Updated
- Jan 13, 2009
- License
-
06356R (LA)
Practice Information
- Address
-
433 PLAZA STBOGALUSA, LA, 704273729Browse LA providers · Browse ZIP 70427
- Phone
- 9857306705
- Fax
- 9857306709
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in BOGALUSA, LA
| Name | Credential | NPI |
|---|---|---|
| MR. RANDY PETER BOULIGNY | MD | 1609808294 |
| MARIA DELPILAR BERNAL | M.D. | 1629267893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.