Bruce L Bullion, OD - Optometrist in Grand Rapids, MI

Bruce L Bullion, OD is a Optometrist based in Grand Rapids, Michigan. Bruce L Bullion is licensed to practice in Michigan (license number 4901004093) and his current practice location is 1960 28th St Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 247-6677.

NPI number for Bruce L Bullion is 1003814492 and his current mailing address is 105 W Exchange St, Spring Lake, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003814492.

Contact Information

Bruce L Bullion, OD
1960 28th St Se,
Grand Rapids, MI 49508-7900
(616) 247-6677
(616) 247-1254



Healthcare Provider's Profile

Full NameBruce L Bullion
GenderMale
SpecialityOptometrist
Location1960 28th St Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003814492
  • Provider Enumeration Date: 07/11/2005
  • Last Update Date: 10/25/2007

Medical Identifiers

Medical identifiers for Bruce L Bullion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003814492NPI-NPPES
4634126MedicaidMI
4703359MedicaidMI
4939450MedicaidMI
4930876MedicaidMI
4947087MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901004093 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce L Bullion is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bruce L Bullion, OD
105 W Exchange St,
Spring Lake, MI 49456-2024

Ph: (616) 846-0620
Bruce L Bullion, OD
1960 28th St Se,
Grand Rapids, MI 49508-7900

Ph: (616) 247-6677

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› Verified 2 days ago


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