NPI | 1053408468 |
---|---|
Former Legal Business Name | GEOFFREY BULLOCK OD PS |
Doing Business As | BULLOCK EYE CARE |
Entity Type | Organization |
Authorized Contact | BRANDON CALL Shareholder/Vice President 509-551-7441 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD 00003641) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2023-05-25 |