Richard Bullen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002489 Issued in AZ

Practice address

1701 N Stockton Hill Rd Ste D
Kingman, AZ 86401-6600

Phone

(928) 718-1009

NPI assigned

Jun 13, 2021

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 AZ

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainview Vision Center PCGroup PAC ID 0345620449, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mountainview Vision Center PC

  • Optometrist
  • Kingman, AZ
  • NPI 1225774524

  AZ, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• PBW Optometry P C

  • Corneal and Contact Management Optometrist
  • Kingman, AZ
  • NPI 1255468930

  AZ

  Medicare reassignment NPD
• Jason C Allen DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Kingman, AZ
  • NPI 1164459343
  NPD
• PBW Optometry PC

  • Eyewear Supplier
  • Lake Havasu City, AZ
  • NPI 1871048405
  NPD

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1811565252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N STOCKTON HILL RD STE D",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N STOCKTON HILL RD STE D",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016600",
            "telephone_number": "928-718-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Arciaga Budomo
• Joseph B Buhanan, PHARMD
• Bullen Orthodontics Inc.
• Carl Bruce Bullen, DDS
• Reed Bullen, PA-C
• William R Burge, MD
• Sandra Burger
• Cheryl Lee Burley, CNP
• Christopher Troy Burns, DO
• Gordon T Burns, M.D.

• Optometrist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.