Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAINE BULLOCH
NPI 1275277733
Ophthalmology in West Monroe, LA

Active since April 21, 2022
1804 N 7TH ST, WEST MONROE, LA 71291(318) 325-2610(318) 325-7715 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Apr 21, 2022 (2 updates tracked since 2022).

About Blaine Bulloch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAINE BULLOCH (NPI 1275277733) is an individual ophthalmology provider in West Monroe, Louisiana, licensed in Louisiana (352183) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1275277733
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBLAINE BULLOCH
Location Address1804 N 7TH STWest Monroe, LA 71291-4414
Mailing Address1804 N 7th StWest Monroe, LA 71291-4414 · (318) 325-2610 · Fax (318) 325-7715
Fax(318) 325-7715
Sole ProprietorYes
Enumeration DateApril 21, 2022
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1275277733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in LA · 352183
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1804 N 7TH ST, West Monroe, LA 71291

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Nurse Anesthetist, Certified Registered
1804 N 7TH ST
WEST MONROE, LA 71291
Eyewear Supplier
1804 N 7TH ST
WEST MONROE, LA 71291
Physician Assistant
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Nurse Practitioner (Family)
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Bulloch's NPI number?

The NPI number for Blaine Bulloch is 1275277733. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Blaine Bulloch located?

Blaine Bulloch practices at 1804 N 7th St, West Monroe, LA 71291. The listed phone number is (318) 325-2610.

What is Blaine Bulloch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Blaine Bulloch was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.