Individual provider Active NPI

Seema Bhula, O.D.

  • Optometrist
  • Brunswick, GA
National Provider Identifier
1376741538
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002393 Issued in GA
Practice address
149 Altama Connector
Brunswick, GA 31525-1853
Phone
(912) 554-2007
Fax
(912) 554-2284
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2763 TN
Optometrist 152W00000X OPT002393 GA Primary

Addresses

Primary practice location

149 Altama Connector
Brunswick, GA 31525-1853

Mailing address

149 Altama Connector
Brunswick, GA 31525-1853
Phone (912) 554-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080819000063 GA Practitioner - Optometry 3274608773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert D Millican OD PCGroup PAC ID 9032280573, 2 clinicians

Practice addresses (Care Compare)

149 Altama Connector
Brunswick, GA 31525-1853
Phone (912) 554-2007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2763TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D Millican OD PC CurrentSince Jul 5, 2012 Accepting new patients

Locations

149 Altama Connector
Brunswick, GA 31525
Phone (912) 554-2007

Organizations & group practices 1

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1376741538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251853",
            "telephone_number": "912-554-2007",
            "fax_number": "912-554-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251853",
            "telephone_number": "912-554-2007",
            "fax_number": "912-554-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULA",
        "first_name": "SEEMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2763",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.