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

Individual provider Optometrist · NPI 1962927764

Jacqueline Elaine Bullard, OD is an Optometry in Belleville, Illinois. Graduated from Indiana University - School of Optometry in 2017, 9 years ago. Practices with Innovative Eye Care Solutions Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Indiana University - School of Optometry
Licensed in
IL
In the registry since
2017
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

22 N Jackson St
Belleville, IL 62220-1425
Phone: (618) 233-1270
Fax: (618) 233-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 064011144 (IL)

Record details

NPI number1962927764
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Innovative Eye Care Solutions Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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