Kelly L Bulow, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003860 Issued in MI

Practice address

559 Progress St Ste E
West Branch, MI 48661-9399

Phone

(989) 345-8113

Fax

(893) 457-4849

NPI assigned

Aug 13, 2006

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ogemaw Eye Institute PCGroup PAC ID 2961837984, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.13 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.75

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ogemaw Eye Institute PC

  • Ophthalmology Physician
  • West Branch, MI
  • NPI 1114561727
  Medicare reassignment Care Compare group
• Bay Eye Care Center, PC

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1235168915
  Medicare reassignment NPD
• Bay Eye Care Center, PC

  • Optometrist
  • Bay City, MI
  • NPI 1679595201
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1003829177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST STE E",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "893-457-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 PROGRESS ST STE E",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619399",
            "telephone_number": "989-345-8113",
            "fax_number": "893-457-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULOW",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944529185",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Breining, RN
• Timothy Bronson, LPC
• Aliya Frances Browne, DO
• Sarah C. Bryce, PHARM D
• Marilyn Elizabeth Buckley, MSN, CFNP
• Dawn Burke-Allie
• Michael E Burkley, D.O.
• David Bryan Butcher, MD
• Camp Skywild
• Carelinc Medical Equipment & Supply Co. LLC

• Optometrist in West Branch, MI
• Providers in West Branch, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.