Anthony John Bullum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8412T Issued in CA

Practice address

9 Ganadero
Rancho Santa Margarita, CA 92688-3014

Phone

(800) 800-0000

NPI assigned

Mar 8, 2006

Last updated

May 15, 2015By the provider in NPPES

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 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

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Systems IncGroup PAC ID 7012824717, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: anthony.bullum.p1@direct.chsica.nextgenshare.com

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.

• Community Health Systems, Inc.

  dba Inland Empire Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1952308009
  Medicare reassignment Care Compare group
• Milauskas Eye Institute Medical Group II Inc

  dba Milauskas Eye Institute

  • Ophthalmology Physician
  • Rancho Mirage, CA
  • NPI 1235210584

  Optometrist

  NPD (past)
• Pearle Visioncare, Inc

  dba Pearle Vision # C6021

  • Eyewear Supplier
  • Torrance, CA
  • NPI 1497811483

  Optometrist

  NPD (past)
• Pearle Visioncare, Inc

  dba Pearle Vision #C6011

  • Eyewear Supplier
  • Capitola, CA
  • NPI 1508921594
  NPD (past)
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1992773956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GANADERO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GANADERO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883014",
            "telephone_number": "800-800-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLUM",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8412T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Park Medical Group, Inc.
• Justin Charles Brown, MPT
• Susan Lorraine Brown, PT
• Lechelle Brueggeman, PSYD
• Jeffrey Edward Bulger, PA
• Lile Bunar, D.D.S.
• Juris Bunkis, M.D.,F.A.C.S.
• Butterfly Therapies, Inc.
• Lisa Button, SUDCC 8711
• Alex Cabrera, DPT

• Optometrist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.