NPI 1164517611 · live from the CMS NPI Registry
Paul E Bullock, O.D.
Optometrist in Manhattan, KS. National Provider Identifier 1164517611, active.
NPI record
| NPI | 1164517611 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1441 Anderson Avenue, Manhattan, KS 66502 |
| Practice phone | 785-776-9461 |
| Enumerated | October 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 912-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.