Bruce L Bullion
Optometrist
1960 28th St Se
Grand Rapids
, Michigan 49508-7900
Bruce L Bullion
Optometrist
1960 28th St Se
Grand Rapids
, Michigan 49508-7900
(616) 844-6079
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Bruce L Bullion
- 105 W Exchange St
- Spring Lake, MI
- Zip : 49456-2024
- Fax : (616) 844-6079
- Phone : (616) 846-0620
Second Address
- Bruce L Bullion
- 1960 28th St Se
- Grand Rapids, MI
- Zip : 49508-7900
- Fax : (616) 247-1254
- Phone : (616) 247-6677
Reviews
FAQs
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Is Bruce L Bullion a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004093 | MI |
National Provider Identifier
| NPI | 1003814492 |
|---|---|
| Provider Name | Bruce L Bullion |
| First Address | Spring Lake, MI 49456-2024 |
| Second Address | Grand Rapids, MI 49508-7900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2005 |
| Last Update Date | 25/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4634126 | (05) | MI |
| 4703359 | (05) | MI |
| 4930876 | (05) | MI |
| 4939450 | (05) | MI |
| 4947087 | (05) | MI |
| U88901 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.