Active NPI
Michelle Lee Burkhardt Bullion, O.D.
- Optometrist
- North Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004094
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004094 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| Spring Lake Eye Care LLC | Optometrist | Current | Accepting new patients |
| Mary Free Bed Rehabilitation Hospital | Current | 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.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
- Optometrist
- N Muskegon, MI
- NPI 1114103140
-
dba Mary Free Bed Medical Group
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
-
- Clinic/Center
- Schnecksville, PA
- NPI 1275713596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.