Active NPIIndividual providerSole proprietor

Dr. Alfonso C Bullock II, OD

Optometrist in Palisades Park, New Jersey

NPI Number1891727525
Practice location
261A Broad Ave., Palisades Park, NJ 07650
Fax
—
Last updated
July 8, 2007

Alfonso C. Bullock is an Optometrist based in Palisades Park, NJ. Alfonso C. Bullock practices in Palisades Park, NJ and has the professional credentials of OD. The NPI Number for Alfonso C. Bullock is 1891727525 and holds a License No. tuv-006870-1 (NY). The current practice location address for Alfonso C. Bullock is 261A Broad Ave., Palisades Park, NJ 07650 and can be reached out via phone at 201-944-3068.

Provider Profile Details

NPI Number
1891727525
Provider Name
Alfonso C. Bullock
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
261A Broad Ave., Palisades Park, NJ 07650
Phone Number
201-944-3068
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
261A Broad Ave.
Palisades Park, NJ 07650
Zip
07650
Phone Number
201-944-3068
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
257B 5TH St
Palisades Park, NJ 07650-2034
City
Palisades Park
State
NJ
Zip
07650-2034
Phone Number
201-947-6590
Fax Number
631-666-1984

License Information

License Number (1)
tuv-006870-1
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00599000
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Palisades Park, NJ

View all Optometrists in Palisades Park →

Frequently Asked Questions

What is the NPI number of Dr. Alfonso C Bullock II, OD?

The NPI number of Dr. Alfonso C Bullock II, OD is 1891727525. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Alfonso C Bullock II, OD?

Dr. Alfonso C Bullock II, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number tuv-006870-1.

Where does Dr. Alfonso C Bullock II, OD practice?

The practice location is 261A Broad Ave., Palisades Park, NJ 07650. The office can be reached at 201-944-3068 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891727525 directly on the NPPES registry website.

Browse related providers