Susan Kristine Bullano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1858 Issued in KS

Practice address

6120 Johnson Dr
Mission, KS 66202-3333

Phone

(913) 262-3937

Fax

(913) 262-3942

NPI assigned

Aug 10, 2006

Last updated

Feb 26, 2013By the provider in NPPES

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 MO

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

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Eye Specialists PCGroup PAC ID 3476509613, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northland Eye Specialists PC

  • Ophthalmology Physician
  • Liberty, MO
  • NPI 1518054196
  Medicare reassignment Care Compare group
• Ad Astra Eye, LLC

  • Ophthalmology Physician
  • Lawrence, KS
  • NPI 1770016727
  NPD (past)
• Honson & Honson, Inc.

  dba Honson & Honson Mission EyeCare

  • Optometrist
  • Mission, KS
  • NPI 1689787590
  NPD (past)
• Pingel Family Eyecare, LLC

  dba Mission EyeCare

  • Optometrist
  • Mission, KS
  • NPI 1306113923
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1891706412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13385 SYCAMORE DR",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798358",
            "telephone_number": "816-390-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLANO",
        "first_name": "SUSAN",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brill Eye Center LLC
• Raymond J Brill, OD, FAAO, FOAA
• Halee Brockus
• Jaidyn Brown
• Kaylea Elizabeth Brown, FNP-BC, RN
• Michelle Dawn Callicoat, ARNP
• Virginia A. Campbell, DO
• Vicki Canady, LSCSW
• Mykia Carrell
• Haley Carrillo

• Optometrist in Mission, KS
• Providers in Mission, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.