Pulk, Bernard Jeffrey
Pulk, Bernard Jeffrey is an individual health care provider with primary practice located at 301 Cherry Heights Rd , The Dalles OR 97058-3586. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pulk, Bernard Jeffrey can be contacted via phone (541) 296-1101.Contact Information
Primary practice address
301 Cherry Heights Rd
The Dalles OR 97058-3586
Phone: (541) 296-1101
Fax: (541) 298-1538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | AT3526 | Oregon |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | AT3526 | Oregon |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | AT3526 | Oregon |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | AT3526 | Oregon |
Eye and Vision Services Providers / Optometrist | 152W00000X | AT3526 | Oregon |
Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
NPI number | 1689653354 |
---|---|
LBN Legal business name | Pulk, Bernard Jeffrey |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2006 |
Last updated | Jul 13th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689653354 | NPPES |
Oregon | MEDICAID | 1689653354 | |
Oregon | MEDICAID | 4351130 |
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