Dr Ira Butler Fuller Iii Iii, MD is a
Ophthalmology physician based in Bogalusa, Louisiana. Dr Ira Butler Fuller Iii Iii is licensed to practice in Louisiana (license number 06356R) and his current practice location is 433 Plaza St, Bogalusa, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(985) 730-6705.
NPI number for Dr Ira Butler Fuller Iii Iii is 1134149081 and his current mailing address is 3401 North Blvd, Baton Rouge, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134149081.
Physician's Profile
Full Name | Dr Ira Butler Fuller Iii Iii |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 433 Plaza St, Bogalusa, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134149081
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 01/13/2009
Medical Identifiers
Medical identifiers for Dr Ira Butler Fuller Iii Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134149081 | NPI | - | NPPES |
1341428 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 06356R (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ira Butler Fuller Iii Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ira Butler Fuller Iii Iii, MD 3401 North Blvd, Baton Rouge, LA 70806-3743 Ph: (225) 924-6820 | Dr Ira Butler Fuller Iii Iii, MD 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6705 |
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