Ralph S Bullock and Son

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

RALPH S BULLOCK AND SON

Practice address

725 N Main St
Glassboro, NJ 08028-1653

Phone

(856) 881-3666

Fax

(856) 881-3666

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ralph Samuel Bullock Jr.

Title

Optician

Phone

(856) 881-3666

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558425447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281653",
            "telephone_number": "856-881-3666",
            "fax_number": "856-881-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281653",
            "telephone_number": "856-881-3666",
            "fax_number": "856-881-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH S BULLOCK AND SON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "856-881-3666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.