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BLAINE BULLOCH
NPI 1275277733
Ophthalmology in West Monroe, LA

Active since April 21, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2026).

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
Phone(318) 325-2610
Fax(318) 325-7715
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2026
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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaine Bulloch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911464359
PECOS Enrollment IDI20260806000104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Blaine Bulloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joseph E Humble And Raymond Haik, Ptrs
Same address
Ophthalmology
1804 N 7TH ST
West Monroe, LA 71291
  • Reassigned Medicare billing, Louisiana enrollment
  • 37 clinicians in this Medicare group
NPI 1336178482 (318) 325-2610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DANIEL BONNETTE
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
MRS. CYNTHIA G PARKER CRNA
Nurse Anesthetist, Certified Registered
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Eyewear Supplier
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
MRS. JENNIFER LEE OWENS PA-C
Physician Assistant
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
MRS. WHITNEY JOANNE SCALLAN APRN-C, FNP
Nurse Practitioner (Family)
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
DR. THOMAS GUY PARKER JR. M.D.
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610
DR. JOSEPH ELGIN HUMBLE M.D.
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ouachita Parish (318) 325-2610

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.

Is Blaine Bulloch enrolled in Medicare?

Yes. Blaine Bulloch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blaine Bulloch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Bulloch reassigns Medicare benefits to Joseph E Humble And Raymond Haik, Ptrs (West Monroe, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blaine Bulloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaine Bulloch accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Blaine Bulloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 3 months 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.