Stephen M Pullen in Jacksonville - Optometrist
Stephen M Pullen - NPI 1801853296
Stephen M Pullen is a Optometrist in Jacksonville, Florida. Stephen M Pullen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen M Pullen is 1801853296. The last update date is 2007-12-11.
Stephen M Pullen's current location address is 11808-1 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042622249 and fax number 9042688283. The mailing address for Stephen M Pullen is 11808-1 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen M Pullen |
|---|---|
| Address | 11808-1 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042622249 |
| Fax Number | 9042688283 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1801853296 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 11808-1 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32223 |
| Phone Number | 9042622249 |
| Fax Number | 9042688283 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC3511 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68102 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephen M Pullen by the Centers for Medicare & Medicaid Services?
The Stephen M Pullen has been issued the NPI (National Provider Identifier) 1801853296 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stephen M Pullen is located?
The Stephen M Pullen is situated at the following address: 11808-1 San Jose Blvd, Jacksonville, FL, 32223.
What is the Stephen M Pullen's specialty and taxonomy code?
The Stephen M Pullen's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Stephen M Pullen receive its 1801853296 assignment?
The Stephen M Pullen was assigned its 1801853296 on 2006-04-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Stephen M Pullen last refreshed?
The information related to the Stephen M Pullen, including its address, specialty, and other relevant details, was last updated on 2007-12-11.