Old Town Optical
LBN: B. Jeffrey Pulk, P.C.
Old Town Optical is an health care organization with primary practice located at 515 S Union St , Traverse City MI 49684-3246. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
B. Jeffrey Pulk, P.C. can be contacted via phone (231) 946-0333, or through Pulk, Bernard Jeffrey via phone (231) 946-0333.
Contact Information
Primary practice address
515 S Union St
Traverse City MI 49684-3246
Phone: (231) 946-0333
Fax: (231) 946-1665
Website:
Authorized official contact:
Name: Pulk, Bernard Jeffrey Doctor of Optometry (OD)
Phone: (231) 946-0333
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004124 | Michigan |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901004124 | Michigan |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 4901004124 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004124 | Michigan |
Profile Details
| NPI number | 1528237690 |
|---|---|
| LBN Legal business name | B. Jeffrey Pulk, P.C. |
| DBA Doing business as | Old Town Optical |
| Authorized official | Pulk, Bernard Jeffrey Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Feb 22nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528237690 | NPPES |
| Michigan | MEDICAID | 4351130 |
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