Individual provider Active NPI

Jason Douglas Bullajian, MD

  • Ophthalmology Physician
  • McKinney, TX
National Provider Identifier
1063415552
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L9117 Issued in TX
Practice address
2600 W University Dr Ste 100
McKinney, TX 75071-3209
Phone
(972) 548-2015
Fax
(972) 548-2014
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L9117 TX Primary

Addresses

Primary practice location

2600 W University Dr Ste 100
McKinney, TX 75071-3209

Mailing address

2600 W University Dr Ste 100
McKinney, TX 75071-3209
Phone (972) 548-2015

Other practice location 1

8380 Warren Pkwy Ste 101
Frisco, TX 75034-4199
Phone (972) 548-2015

Other identifiers 3

IdentifierTypeStateIssuer
167417801MedicaidTX
167417802MedicaidTX
8AM140OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000969 TX Practitioner - Ophthalmology 7416921911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Vision and Laser Center, PLLCGroup PAC ID 4880787951, 5 clinicians

Practice addresses (Care Compare)

8380 Warren Pkwy
Suite 101
Frisco, TX 75034-4199
Phone (972) 548-2015

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as group
Quality
96.01
Promoting interoperability
99
Improvement activities
40
Cost
76.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9117TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Vision & Laser Center, PLLC Ophthalmology CurrentSince Oct 1, 2007 Accepting new patients
Texas Allied Anesthesia, PLLC Past Accepting new patients

Locations

8380 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 548-2015

2600 W University Dr
Ste 200
McKinney, TX 75071
Phone (214) 360-1108

2709 Virginia Pkwy
Ste 200
McKinney, TX 75071
Phone (972) 359-7911

2600 W University Dr
Ste 100
McKinney, TX 75071
Phone (972) 548-2015

4701 Medical Center Dr
Ste 1A
McKinney, TX 75069
Phone (214) 733-8001

Interoperability endpoints

  • Direct secure messaging: jason.bullajian.d1.p1@direct.texasvisionandlaser.nextgenshare.com
  • Direct secure messaging: jbullajian@tvlc.intellechartdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1063415552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713209",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713209",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Warren Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750344199",
            "country_code": "US",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLAJIAN",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L9117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167417801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167417802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AM140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.