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Contact Information

LIANA N BULLOCK, OD
9040 JACKSON AVE
TACOMA, WA98431-4819
 Phone: 253-968-3760
 Fax: 253-968-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LIANA N BULLOCK · (Female)

NPI Number 1992789317
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/30/2005
Last updated 06/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 11890
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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