Individual provider Active NPI

Savana Caitlin Bullard, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1609761279
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6797 Issued in FL
Practice address
6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone
(850) 476-9236
NPI assigned
Jun 12, 2025
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6797 FL Primary
Optometrist 152W00000X T-264-TA-D56 AL

Addresses

Primary practice location

6190 N Davis Hwy
Pensacola, FL 32504-6969

Mailing address

1716 University Blvd G080A
Birmingham, AL 35294-0010
Phone (205) 975-2020

Other practice location 1

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407
Phone (850) 934-1954

Other practice location 2

1716 University Blvd G080A
Birmingham, AL 35294-0010
Phone (205) 975-2020

Other practice location 3

4427 Highway 90
Pace, FL 32571-2066
Phone (850) 994-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250723003514 AL Practitioner - Optometry 0345756532 Reassigns benefits to 1 organization
I20260331003908 FL Practitioner - Optometry 0345756532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 731-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6797FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Multi-Specialty Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 16, 2025 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jun 16, 2025 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
#80A
Birmingham, AL 35233

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

Organizations & group practices 4

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1609761279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-476-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3577 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633407",
            "country_code": "US",
            "telephone_number": "850-934-1954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1716 University Blvd G080A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940010",
            "country_code": "US",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4427 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325712066",
            "country_code": "US",
            "telephone_number": "850-994-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "SAVANA",
        "middle_name": "CAITLIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6797",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "T-264-TA-D56",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.