Stephen M Pullen Pa in Jacksonville - Optometrist
Stephen M Pullen Pa - NPI 1568428795
Stephen M Pullen Pa is a Optometrist in Jacksonville, Florida. Stephen M Pullen Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen M Pullen Pa is 1568428795. The last update date is 2007-12-11.
Stephen M Pullen Pa'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 Pa is 11808-1 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stephen M Pullen Pa |
|---|---|
| Address | 11808-1 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042622249 |
| Fax Number | 9042688283 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER OPTO |
|---|---|
| Authorized Official Name | Pullen Mcafee Stephen |
| Credentials | OD |
| Telephone Number | 9042622249 |
NPI Number Detail
| NPI Number | 1568428795 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| 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 |
|
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 |
|---|---|---|---|
| 74964 | FL | BCBS |
Post Comment/ Review Below
What is the Stephen M Pullen Pa's unique identification number?
The Stephen M Pullen Pa has been assigned the NPI (National Provider Identifier) Number 1568428795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Stephen M Pullen Pa's facilities are situated?
The facilities of Stephen M Pullen Pa are physically located at the following address: 11808-1 San Jose Blvd, Jacksonville, FL, 32223.
What is the Stephen M Pullen Pa's area of specialization and corresponding taxonomy classification?
The Stephen M Pullen Pa's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568428795 to Stephen M Pullen Pa?
The Centers for Medicare & Medicaid Services originally issued the 1568428795 to Stephen M Pullen Pa on 2006-04-25.
When was the information regarding Stephen M Pullen Pa most recently updated?
The details pertaining to the Stephen M Pullen Pa, including its address, specialty, and other relevant information, were last refreshed on 2007-12-11.
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