BRUCE L BULLION O.D. NPI 1003814492

NPI Information

  • NPI: 1003814492
  • Provider Name: BRUCE L BULLION, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 1960 28TH ST SE
    GRAND RAPIDS, MI
    ZIP 49508
  • Phone: (616) 247-6677

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NPI Details

Bruce L Bullion, O.D. is an optometrist in Grand Rapids, MI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Bruce L Bullion, O.D. NPI is 1003814492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1960 28TH ST SE
GRAND RAPIDS, MI
ZIP 49508-900
Phone: (616) 247-6677
Fax: (616) 247-1254

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist4901004093MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DC1560MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD MEDICARE GROUP
24939450MEDICAIDMICHIGAN
30P32620MEDICARE PINMICHIGAN
44930876MEDICAIDMICHIGAN
54634126MEDICAIDMICHIGAN
64703359MEDICAIDMICHIGAN
75189400001MEDICARE NSCMICHIGAN
85472600009MEDICARE NSCMICHIGAN
9U88901MEDICARE UPINMICHIGAN
10P00151235MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD INDIVIDUAL
110P21400MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMICHIGAN MEDICARE GROUP
12P32620002MEDICARE PINMICHIGAN
130N96840MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMICHIGAN MEDICARE GROUP
14P21400009MEDICARE ID-TYPE UNSPECIFIEDMICHIGANINDIVIDUAL PROVIDER NUMBR
15N96840002MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE INDIVIDUAL
164947087MEDICAIDMICHIGAN
175189400005MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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