Most Relevant Information
Provider Data
| NPI Number: | 1003814492 |
| Provider Name: | BRUCE L BULLION O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 4901004093 |
Most Important Dates
| Enumeration Date: | 07/11/2005 |
| Last Updated: | 10/25/2007 |
Provider Practice Location
1960 28TH ST SE
GRAND RAPIDS
MI
495087900
Practice Location Phone/Fax
| Phone: | 6162476677 |
| Fax: | 6162471254 |
Provider Mailing Location
105 W EXCHANGE ST
SPRING LAKE
MI
494562024
Provider Mailing Phone/Fax
| Phone: | 6168460620 |
| Fax: | 6168446079 |