Individual
DR. THOMAS H GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
404 LOUISIANA ST, LITTLE ROCK, AR 72201-3702
(501) 375-8271
(501) 375-8272
Mailing address
404 LOUISIANA ST, LITTLE ROCK, AR 72201-3702
(501) 375-8271
(501) 375-8272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2075
AR
152WV0400X
Vision Therapy Optometrist
2075
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0436770001
PALMETTO
AR
05
—
104316722
—
AR
01
—
17371000040
QUAL CHOICE
AR
01
—
2220008
UNITED HEALTHCARE
AR
Enumeration date
07/08/2005
Last updated
07/01/2022
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