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EDWIN PETER BULLARD BCO BADO NPI 1366076556


NPI Information

NPI: 1366076556
Provider Name: EDWIN PETER BULLARD, BCO, BADO
Classification: Technician/Technologist - 156FX1700X
Entity Type: Individual

Specialization: Ocularist

Address:
4606 S GARNETT RD STE 302
TULSA, OK
ZIP 74146
Phone: (918) 664-6544
Get Directions

Edwin Peter Bullard, BCO, BADO is an ocularist technician technologist in Tulsa, OK. The provider is an ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis. Edwin Peter Bullard, BCO, BADO NPI is 1366076556. 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:

4606 S GARNETT RD STE 302
TULSA, OK
ZIP 74146-218
Phone: (918) 664-6544
Fax: (918) 664-0668

The enumeration date for this NPI number is 2/26/2020 and was last updated on 2/26/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1700XTechnician/TechnologistOcularistYes

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: 4/28/2024

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