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Active NPI 1366076556 Individual Practitioner Male Practitioner

Edwin Peter Bullard , BCO, BADO

Technician/Technologist - Ocularist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Edwin Bullard, BCO, BADO is a registered healthcare professional specializing in Technician/Technologist - Ocularist in Tulsa, OK. Practice services are available at 4606 S GARNETT RD STE 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4606 S Garnett Rd Ste 302

Tulsa, OK 741465218

Telephone 9186646544
Fax 9186640668
Associated Practice Facility / Clinic
🏢 Eye Restoration Clinic Facility NPI 1790823300

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Ocularist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Tulsa, OK (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-26
Technician/Technologist - Ocularist Primary Specialty

NUCC Taxonomy Code: 156FX1700X

An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Vanessa Pederson , BADO, BSO

Technician/Technologist - Ocularist

NPI 1326622739
Elsie Lytle

Specialist

NPI 1447398045
NPI 1992956361

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2020

Registered at 4606 S GARNETT RD STE 302, TULSA, OK 741465218 (Tel: 9186646544)

📍
Updated Business Mailing Address February 26, 2020

Registered at 4606 S GARNETT RD STE 302, TULSA, OK 741465218 (Tel: 9186646544)

👤
Provider Name / Credentials Updated February 26, 2020

Recorded as EDWIN BULLARD, BCO, BADO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2020

Technician/Technologist

🟢
Initial NPI Registration & Enumeration February 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366076556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2020
Last Update: February 26, 2020
Sole Proprietor: No

Mailing Address

4606 S Garnett Rd Ste 302

Tulsa, OK 741465218

Phone: 9186646544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.