Bullock Optometry Pc

LBN: Bullock Optometry Pc
Bullock Optometry Pc is an health care organization with primary practice located at 2373 E Main St , Plainfield IN 46168-2717. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bullock Optometry Pc can be contacted via phone (317) 839-0713, or through Bullock, Carmen N via phone (317) 417-0603.

Contact Information

Primary practice address
2373 E Main St Plainfield IN 46168-2717
Fax:
Website:
Authorized official contact:
Name: Bullock, Carmen N Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002990A Indiana

Profile Details

NPI number 1043478027
LBN Legal business name Bullock Optometry Pc
DBA Doing business as
Authorized official Bullock, Carmen N Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated Dec 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043478027 NPPES
Indiana MEDICAID 200918100A
Indiana MEDICAID 200918100B

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