Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALFONSO C. BULLOCK II, O.D.
Active Sole ProprietorDR. ALFONSO C. BULLOCK II, O.D. is a Optometrist healthcare provider located in PALISADES PARK, New Jersey. NPI 1891727525 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PALISADES PARK, NJ
Registration Details
- NPI Number
- 1891727525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.928140010272 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
TUV-006870-1 (NY)27OA00599000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
261A BROAD AVE.PALISADES PARK, NJ, 07650Browse NJ providers · Browse ZIP 07650
- Phone
- 2019443068
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in PALISADES PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| JOHN J KIM | O.D. | 1831146224 |
| DR. MARTIN SUNG KIM | OD | 1801827795 |
| DR. TAEWHA CAROLYN MOON | O.D. | 1972603637 |
| DR. JULIA E. KIM | O.D. | 1558524462 |
| DR. SEUNG-HEE CHOI | O.D. | 1043476633 |
| DR. HANNA HAEJO HAN | O.D. | 1972815090 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.