Bullock, Geoffrey A
Bullock, Geoffrey A is an sole proprietor health care provider with primary practice located at 4800 Whitesburg Dr Sw Ste 26 , Huntsville AL 35802-1600. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bullock, Geoffrey A can be contacted via phone (256) 213-2020.Contact Information
Primary practice address
4800 Whitesburg Dr Sw Ste 26
Huntsville AL 35802-1600
Phone: (256) 213-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | WA#000003641 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | R-316-TA-C84 | Alabama |
Profile Details
| NPI number | 1942252259 |
|---|---|
| LBN Legal business name | Bullock, Geoffrey A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942252259 | NPPES |
| Washington | MEDICAID | 2130250 |
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