Lisa Bullon
Technician/Technologist, Optician in Fort Worth, TX. Individual provider (NPI-1).
NPI number1609786458
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1609786458
- Entity type
- Individual (NPI-1)
- Name
- Lisa Bullon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2026
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | TX | Yes |
Practice location
4801 High Plains CtFort Worth, TX 76179-6424
Phone 682-564-1932
Mailing address
4801 High Plains CtFort Worth, TX 76179-6424
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Optician providers in Fort Worth · All 20,155 providers in Fort Worth
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