NPI 1306428669 · live from the CMS NPI Registry
Kristen Fuller
Optometrist in Rockport, ME. National Provider Identifier 1306428669, active.
NPI record
| NPI | 1306428669 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1100 Commercial St, Rockport, ME 04856 |
| Practice phone | 207-594-9555 |
| Enumerated | April 26, 2021 |
| Last updated | January 12, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1090 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.