Riley Bullert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33995 Issued in CA

Practice address

1700 Bruce Rd
Chico, CA 95928-7941

Phone

(530) 891-1900

Fax

(530) 895-1664

NPI assigned

Jul 19, 2018

Sex

Female

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 CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: riley.bullert.p1@direct.peachtreehealth.nextgenshare.com

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.

• Ridge Eye Care Inc

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1699078030

  Optometrist

  Medicare reassignment NPD
• Peach Tree Healthcare

  dba Peach Tree Clinic

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622

  Optometrist

  NPD
• Seaside Optometry, Inc.

  • Optometrist
  • Lompoc, CA
  • NPI 1598693764
  NPD
• Dignity Health

  dba Mercy General Hospital

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• North Valley Eye Care

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1043475627

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1639656903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLERT",
        "first_name": "RILEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Buckham
• Angela Buckner, ASW
• Quan Bui
• An Bulkens
• Shelley Lyn Bullen, LMFT
• David William Bunganich, D.C.
• Christopher P. Bunt
• Buoyant Primary Care
• Theresa Ellen Burch
• Erin Guile Burchfield, R.N.

• Optometrist in Chico, CA
• Providers in Chico, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.