NPI 1003814492
Bruce L Bullion, OD
Practice location
- Address
- 1960 28th St SE, Grand Rapids, MI 49508-7900
- Phone
- (616) 247-6677
- Fax
- (616) 247-1254
- Mailing address
- 105 W Exchange St, Spring Lake, MI 49456-2024
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003814492
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2005
- Record last updated
- 25 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.