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JACQUELINE ELAINE BULLARD OD
NPI 1962927764
Optometrist in Belleville, IL

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
22 N JACKSON ST, BELLEVILLE, IL 62220(618) 233-1270(618) 233-5939 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Jacqueline Elaine Bullard Od NPPES

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

JACQUELINE ELAINE BULLARD OD (NPI 1962927764) is an individual optometrist in Belleville, Illinois, licensed in Illinois (064011144) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2017).

NPPES Registry Identity

NPI1962927764
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELINE ELAINE BULLARDCredential: OD
Location Address22 N JACKSON STBelleville, IL 62220-1425
Mailing Address22 N Jackson StBelleville, IL 62220-1425 · (618) 233-1270 · Fax (618) 233-5939
Phone(618) 233-1270
Fax(618) 233-5939
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2017
Enumeration DateAugust 14, 2017
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
✔ NPI 1962927764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 064011144
Definition
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.
22 N JACKSON ST, Belleville, IL 62220
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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 Louisiana, Blue Cross and Blue Shield of Montana 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

Jacqueline Elaine Bullard Od 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 ID2264705219
PECOS Enrollment IDI20170913002190
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 Jacqueline Bullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Eye Care Solutions, Ltd.
0.1 mi
Optometrist
22 N JACKSON ST
Belleville, IL 62220
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1811088404 (618) 233-1270

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,153 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
155 services155 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services47 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
53 services42 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
27 services27 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62220 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 3

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

DR. WILLIAM VERNON RITZEL O.D.
Optometrist
22 N JACKSON ST
BELLEVILLE, IL 62220
St. Clair County (618) 233-1270
INNOVATIVE EYE CARE SOLUTIONS, LTD.
Optometrist
22 N JACKSON ST
BELLEVILLE, IL 62220
St. Clair County (618) 233-1270
DR. KIRSTEN KLAUSS REYNOLDS O.D.
Optometrist
22 N JACKSON ST
BELLEVILLE, IL 62220
St. Clair County (618) 233-1270

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 Jacqueline Bullard's NPI number?

The NPI number for Jacqueline Bullard is 1962927764. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Jacqueline Bullard located?

Jacqueline Bullard practices at 22 N Jackson St, Belleville, IL 62220. The listed phone number is (618) 233-1270.

What is Jacqueline Bullard's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jacqueline Bullard enrolled in Medicare?

Yes. Jacqueline Bullard 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 Jacqueline Bullard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Bullard reassigns Medicare benefits to Innovative Eye Care Solutions, Ltd. (Belleville, IL). 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 Jacqueline Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Bullard accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Jacqueline Bullard 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 Jacqueline Bullard was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.