Sandra J. Hullinger, O.D.
Individual provider Active NPI Optometrist · Bluffton, IN
NPI 1265429153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265429153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18001790A (IN)
- Practice address
- 980 N Main St
Bluffton, IN 46714-1316 - Phone
- (260) 824-2020
- Fax
- (260) 824-4121
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001790A | IN | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001790A | IN | Yes |
Addresses
Primary practice location
980 N Main St
Bluffton, IN 46714-1316
Mailing address
980 N Main St
Bluffton, IN 46714-1316
Phone (260) 824-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356760001 | Other | IN | DMERC |
| 002 | Other | IN | DAVIS VISION |
| 000000084323 | Other | IN | ANTHEM BCBS |
Other providers in Bluffton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.