Christopher Bullin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

783 Issued in MS

Practice address

350 W Woodrow Wilson Ave
Suite 3110
Jackson, MS 39213-7681

Phone

(601) 366-9020

Fax

(601) 321-3979

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Eye Care of HazlehurstGroup PAC ID 4284897026, 2 clinicians

Mississippi Eye Care Associates of Jackson, PLLCGroup PAC ID 3476610122, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mississippi Eye Care Associates of Jackson, PLLC

  • Optometrist
  • Jackson, MS
  • NPI 1366697799

  MS, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Mississippi Eye Care of Hazlehurst

  • Optometrist
  • Hazlehurst, MS
  • NPI 1245505825

  MS, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Mississippi Eyecare Associates of Jackson, PLLC.

  • Optometrist
  • Jackson, MS
  • NPI 1730637521
  NPD
• Canton Vision Clinic, P.a.

  • Optometrist
  • Canton, MS
  • NPI 1174607477
  NPD (past)
• Madison Professional Eyecare Associates, Inc

  • Optometrist
  • Madison, MS
  • NPI 1144304460
  NPD (past)
• Professional Eyecare Associates ,Inc

  • Optometrist
  • Ridgeland, MS
  • NPI 1497830020
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1457541450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE",
            "address_2": "SUITE 3110",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137681",
            "telephone_number": "601-366-9020",
            "fax_number": "601-321-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE",
            "address_2": "SUITE 3110",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137681",
            "telephone_number": "601-366-9020",
            "fax_number": "601-321-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLIN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Buice, M.D.
• Hannah Buie
• Building Futures, LLC
• Charla Renee Bullard, ATR-BC, LPAT
• Bianca Bullie-Thompson, FNP-C, PMHNP-BC
• Scott Bulloch
• Anna Lee Bullock
• Brittany Bullock, MS,CAT
• Sonja P Bullock, LCSW
• Dominique Bullocks

• All providers in Jackson, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.