National Provider Identifier

Michelle Bullock

Michelle Bullock is listed in the NPPES registry with a primary specialty of Optician in Canandaigua, NY and a listed phone number of (585) 394-2020.

NPI 1457864134Canandaigua, NYOptician

Profile Overview

NPI
1457864134
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
November 16, 2017
Last Updated
March 17, 2018

Practice Location

  • 325 West St
  • Canandaigua, NY 14424-1787

Phone: (585) 394-2020

Specialties

  • Optician (156FX1800X)
  • Contact Lens Fitter (156FC0801X)
  • Contact Lens Technician/Technologist (156FC0800X)
Full Record
NPI
1457864134
Entity Type
Individual
Last Name
Bullock
First Name
Michelle
Mailing Street Address
325 West St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1787
Mailing Country
US
Mailing Phone
(585) 394-2020
Practice Street Address
325 West St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1787
Practice Country
US
Practice Phone
(585) 394-2020
Enumeration Date
November 16, 2017
Last Updated
March 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X), Contact Lens Fitter (156FC0801X), Contact Lens Technician/Technologist (156FC0800X)