RILEY BULLERT (NPI# 1639656903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639656903 |
| Entity Type | Individual |
| Full Name | RILEY BULLERT |
| Credential | OD |
| Practice Address |
114 Mission Ranch Blvd Ste 50 Chico CA 95926-5137 |
| Practice Telephone | 5309240749 |
| Practice Fax Number | 5308951664 |
| Mailing Telephone | 5309240749 |
| Mailing Fax Number | 5308951664 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33995 | CA | Eye and Vision Services Providers |
| Street Address |
114 MISSION RANCH BLVD STE 50 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336076 | Ryan Vikesland | Optometrist | 114 Mission Ranch Blvd Ste 50, Chico, CA 95926-5137 | 2017-06-12 |
| 1538631023 | Agi Health Inc | Ophthalmology | 114 Mission Ranch Blvd Ste 50, Chico, CA 95926-5137 | 2018-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443399 | Pennington Optometric Corporation | Optometrist | 2109 Forest Ave Ste 50, Chico, CA 95928-7708 | 2020-07-03 |
| 1902336076 | Ryan Vikesland | Optometrist | 114 Mission Ranch Blvd Ste 50, Chico, CA 95926-5137 | 2017-06-12 |
| 1922204353 | Bryan Davis Garrettson I | Optometrist | 175 Cohasset Rd, Chico, CA 95926-2201 | 2007-06-22 |
| 1447471511 | Edgar A. Parker | Optometrist | 2100 Whitman Ave, Chico, CA 95928-4407 | 2007-05-02 |
| 1073738779 | Gregory Roy Jenkins II | Optometrist | 1102 Mangrove Ave, Chico, CA 95926-3526 | 2007-04-16 |
| 1396880415 | Kelsey H Jewett | Optometrist | 1722 Mangrove Ave Ste 30, Chico, CA 95926-2300 | 2007-02-20 |
| 1417056896 | Family Eye Care Optometry, P.C. | Optometrist | 2565 Ceanothus Ave 155, Chico, CA 95973-7615 | 2006-09-21 |
| 1144339094 | Bonnie Kathleen Seely | Optometrist | 2056 Talbert Drive, Suite #100, Chico, CA 95928 | 2006-08-30 |
| 1891704615 | Glenn A Johnston | Optometrist | 2565 Ceanothus Ave, Ste 155, Chico, CA 95973-7615 | 2006-08-08 |
| 1689604423 | Jerry I. Laskey | Optometrist | 680 Rio Lindo Ave Ste 20, Chico, CA 95926-1849 | 2006-07-04 |
| Find all providers in CHICO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.