Lannie Busey, OD

Individual provider Active NPI Optometrist · Campbellsville, KY

NPI 1063459972 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1063459972
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
0784DT (KY)
Practice address
1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone
(270) 789-2023
Fax
(270) 465-5361
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Center Optometrist PSC Optometrist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0784DT KY Yes

Addresses

Primary practice location

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663

Mailing address

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 789-2023

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.