| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SKYE C PULS | 1124602826 | 2021-05-08 |
Skye C Puls is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124602826. Registration indicates Skye C Puls is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Dr. Skye C Puls OD |
| Practice Office Address | 2825 GABRIELLA ST UNIT 708 DOWNERS GROVE, IL US |
| Practice Office Telephone | 6412601337 |
| Mailing Address | 2825 GABRIELLA ST UNIT 708 DOWNERS GROVE, IL 605153992 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3192 Willow Creek Rd | Prescott, AZ 863016610 | 9284451234 / 9287718107 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | OPT-002517
AZ |