Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Bulloch

Individual provider Ophthalmology Physician · NPI 1275277733

Blaine Bulloch is an Ophthalmology Physician in West Monroe, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2022

Practice location Address checks out

1804 N 7th St
West Monroe, LA 71291-4414
Phone: (318) 325-2610
Fax: (318) 325-7715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 352183 (LA)

Record details

NPI number1275277733
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2022
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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