Individual provider Active NPI

Nancy M Bulas, OD

  • Optometrist
  • Barneveld, NY
National Provider Identifier
1265510671
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0048421 Issued in NY
Practice address
8024 State RT 12
Barneveld, NY 13304
Phone
(315) 896-3900
Fax
(315) 896-3905
NPI assigned
Nov 2, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0048421 NY Primary

Addresses

Primary practice location

8024 State RT 12
Barneveld, NY 13304

Mailing address

8024 State RT 12
Barneveld, NY 13304
Phone (315) 896-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20070831000286 NY Practitioner - Optometry 0648363929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wadas Optometric Group, PCGroup PAC ID 0042546368, 7 clinicians

Practice addresses (Care Compare)

8010 State Route 12
Suite 1
Barneveld, NY 13304-2532
Phone (315) 896-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0048421NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wadas Optometric Group, PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

8010 State Route 12
Barneveld, NY 13304
Phone (315) 896-3900

8010 State Route 12
Ste 1
Barneveld, NY 13304
Phone (315) 896-3900

394 E State St
Herkimer, NY 13350
Phone (315) 866-3751

2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1265510671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 STATE RT 12",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "13304",
            "telephone_number": "315-896-3900",
            "fax_number": "315-896-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 STATE RT 12",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "13304",
            "telephone_number": "315-896-3900",
            "fax_number": "315-896-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAS",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0048421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barneveld, NY

Sources for this page

Verify at the official NPI Registry.