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John Fults, O.D.
NPI 1083777890 · Optometrist · Bloomington, IL
John Fults, O.D. is a Optometrist provider in Bloomington, IL (NPI 1083777890).
Provider details
- NPI number
- 1083777890
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 46-006841 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1631 E Empire St
Bloomington, IL 61701-3531
Phone: (309) 662-4074
Fax: (309) 662-4074
Street-level locationGet directions
Mailing address
114 E Williams St
Broadwell, IL 62634-6367
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Fults's NPI number?
- John Fults's National Provider Identifier (NPI) is 1083777890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Fults's specialty?
- John Fults is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is John Fults located?
- John Fults's practice location on file with NPPES is 1631 E Empire St, Bloomington, IL 61701-3531.
- What is John Fults's phone number?
- The practice phone number listed in the NPPES registry for John Fults is (309) 662-4074.
- Is John Fults's NPI active?
- Yes — John Fults's NPI (1083777890) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.