Blake Bush Family Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2550 Issued in OK

Legal business name

BLAKE BUSH FAMILY EYECARE INC.

Practice address

908 N Rockford Rd
Suite E
Ardmore, OK 73401-2540

Phone

(580) 223-7333

NPI assigned

Jun 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Blake Robert Bush, O.D.NPI 1235395542

Title

Owner

Phone

(580) 223-7333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Robert Bush, O.D.

  • Optometrist
  • Ardmore, OK
  • NPI 1235395542
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey Rae Ybarra

  • Optometrist
  • Norman, OK
  • NPI 1992267017
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1043573470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-223-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-223-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE BUSH FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-223-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Ann Bivens, LPC
• Charles Dewayne Black, D.O.
• Kalie Blackbear
• Karie Blackwell
• Brandy Lee Blackwood
• Mikaela Blakemore
• Sharie Blankenship, LPC
• Stephen W Blankenship, BHRS
• Bryce Owen Bliss, M.D.
• Bloom Counseling, PC

• Optometrist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.