Provider Demographics
NPI:1043537087
Name:BULBIN OPTOMETRY PC
Entity Type:Organization
Organization Name:BULBIN OPTOMETRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BULBIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:646-920-1533
Mailing Address - Street 1:6 RUSTIC CT
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2628
Mailing Address - Country:US
Mailing Address - Phone:646-920-1533
Mailing Address - Fax:
Practice Address - Street 1:186 WARBURTON AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2531
Practice Address - Country:US
Practice Address - Phone:973-427-4864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00569700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty