IndividualActive
Alicia Bultsma, OD
NPI 1992442792 · Optometrist · Saint Joseph, MI
Provider details
- NPI number
- 1992442792
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 4901005482 (MI)
Practice location
2908 Division St
Saint Joseph, MI 49085-2437
Phone: (269) 983-3309
Fax: (269) 983-0846
Mailing address
905 S Main Ave
Platte, SD 57369-2129
Registry dates
- Enumerated
- 2022-05-13
- Last updated
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.