Organization
KENTWOOD FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BULLION O.D. (OPTOMETRIST)
(616) 949-7442
Entity
Organization
Contact information
Practice address
2073 DYKSTRA RD, MUSKEGON, MI 49445-1988
(231) 750-0845
Mailing address
4326 28TH ST SE, KENTWOOD, MI 49512-1908
(616) 949-7442
(616) 956-1274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004094
MI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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