Individual
DR. GEOFFREY A BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4800 WHITESBURG DR SW STE 26, HUNTSVILLE, AL 35802-1600
(256) 213-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
R-316-TA-C84
AL
152W00000X
Optometrist
WA#000003641
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130250
—
WA
Enumeration date
05/16/2006
Last updated
08/25/2023
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