Individual provider Active NPI

Michelle Lee Burkhardt Bullion, O.D.

  • Optometrist
  • North Muskegon, MI
National Provider Identifier
1871676304
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004094 Issued in MI
Practice address
1179 Whitehall Rd B
North Muskegon, MI 49445-2497
Phone
(231) 744-3573
Fax
(231) 719-9016
NPI assigned
Oct 20, 2006
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004094 MI Primary

Addresses

Primary practice location

1179 Whitehall Rd B
North Muskegon, MI 49445-2497

Mailing address

1179 Whitehall Rd B
Muskegon, MI 49445-2497
Phone (231) 744-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040216000457 MI Practitioner - Optometry 3072416296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

456 Cherry St SE
Association for the Blind and Visua
Grand Rapids, MI 49503-4626
Phone (616) 458-1187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004094MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Free Bed Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
Spring Lake Eye Care LLC Optometrist CurrentSince Nov 9, 2025 Accepting new patients
Mary Free Bed Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
Eye Care One, PLLC Optometrist Past Accepting new patients
Stephen J Drabick OD PC Past Accepting new patients
Kent Vision Centers Inc Optometrist Past Accepting new patients

Locations

235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422

456 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 458-1187

1179 Whitehall Rd
Ste B
North Muskegon, MI 49445
Phone (231) 744-3573

110 S Lake Ave
Ste A
Spring Lake, MI 49456
Phone (616) 846-5220

Organizations & group practices 7

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1871676304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 WHITEHALL RD B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452497",
            "telephone_number": "231-744-3573",
            "fax_number": "231-719-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 WHITEHALL RD B",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494452497",
            "telephone_number": "231-744-3573",
            "fax_number": "231-719-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT BULLION",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Muskegon, MI

Sources for this page

Verify at the official NPI Registry.