Bernard Jeffrey Pulk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AT3526 Issued in OR

Practice address

301 Cherry Heights Rd
The Dalles, OR 97058-3586

Phone

(541) 296-1101

Fax

(541) 298-1538

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Dr. B. Jeffrey Pulk Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Eye CenterllcGroup PAC ID 0749253003, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.61 of 100Reported as group

Quality

97.96

Promoting interoperability

100

Improvement activities

40

Cost

44.07

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Eye Centerllc

  dba Cascade Eye Center

  • Ophthalmology Physician
  • The Dalles, OR
  • NPI 1821049073
  Medicare reassignment Care Compare group NPD
• Dale H. Bricker, O.D., P.C.

  • Optometrist
  • The Dalles, OR
  • NPI 1124365648
  NPD
• Baas Optometry PC

  dba Old Town Optical

  • Optometrist
  • Traverse City, MI
  • NPI 1821302548
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1689653354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 CASCADE AVE",
            "address_2": "STE 101",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311272",
            "telephone_number": "541-386-2402",
            "fax_number": "541-308-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHERRY HEIGHTS RD",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583586",
            "telephone_number": "541-296-1101",
            "fax_number": "541-298-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Cascade Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970311272",
            "country_code": "US",
            "telephone_number": "541-386-2402",
            "fax_number": "541-308-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULK",
        "first_name": "BERNARD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "AT3526",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "AT3526",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OR",
            "license": "AT3526",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OR",
            "license": "AT3526",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT3526",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689653354",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4351130",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpulk@cascadeeye.com",
            "affiliation": "N",
            "address_1": "301 Cherry Heights Rd",
            "city": "The Dalles",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970583586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "B.",
            "last_name": "PULK",
            "middle_name": "JEFFREY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Marie Preston
• Kerry Anne Scully Proctor, MD
• Matthew David Proctor, MD
• Providence Health & Services - Oregon (Providence Medical Group)
• Rachel Pruett
• Jodie Quevedo
• Ludivina Quintanilla
• Jessica A Radley, PMHNP
• Brenden B Ramey, MD
• Joshua Rayner

• Optometrist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.