Stephen M Pullen Pa

LBN: Stephen M Pullen Pa
Stephen M Pullen Pa is an health care organization with primary practice located at 11808-1 San Jose Blvd , Jacksonville FL 32223. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stephen M Pullen Pa can be contacted via phone (904) 262-2249, or through Pullen, Stephen Mcafee via phone (904) 262-2249.

Contact Information

Primary practice address
11808-1 San Jose Blvd Jacksonville FL 32223
Phone: (904) 262-2249
Fax: (904) 268-8283
Website:
Map and Directions
Authorized official contact:
Name: Pullen, Stephen Mcafee Doctor of Optometry (OD)
Phone: (904) 262-2249

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1568428795
LBN Legal business name Stephen M Pullen Pa
DBA Doing business as
Authorized official Pullen, Stephen Mcafee Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 11th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568428795 NPPES
Florida Other 74964 BCBS

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