Roger A Bush, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3417 Issued in MA

Practice address

146 Industrial Park Rd
Plymouth, MA 02360-7243

Phone

(508) 833-6000

Fax

(508) 534-6060

NPI assigned

Mar 16, 2006

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Consultants of Boston IncGroup PAC ID 4789651498, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bush.roger.ocb@direct.partners.masshiway.net

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

• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932146594
  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Boston, Inc

  • Eyewear Supplier
  • East Weymouth, MA
  • NPI 1851966162

  Optometrist

  NPD
• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • West Yarmouth, MA
  • NPI 1437374428
  NPD
• Ophthalmic Consultants of Boston, Inc.

  dba Ophthalmic Consultants of Boston

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1730404328
  NPD
• Post Oconnor & Kadrmas Eye Centers P C

  • Ophthalmology Physician
  • Plymouth, MA
  • NPI 1447325857
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1063481661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607243",
            "telephone_number": "508-833-6000",
            "fax_number": "508-534-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607243",
            "telephone_number": "508-833-6000",
            "fax_number": "508-534-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ROGER",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354058",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110016133A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bush.Roger.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "146 Industrial Park Rd",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023607243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Ann Burns
• Heather A Burpee-Armstrong
• Kendra Lee Burr-Sangster, OTR/L, MS
• Rachel Elise Burrell, B.A.
• Tamara Lee Burroughs
• Bree Bushee
• Jessica Marie Bushman
• Dea Elizabeth Butcher
• Michaela Butcher
• Christopher Eric Buterbaugh, MED

• Optometrist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.