Bush Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BUSH FAMILY EYE CARE, LLC

Practice address

10434 S Kedzie Ave
Chicago, IL 60655-2018

Phone

(773) 445-2700

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Bush, ODNPI 1487810313

Title

Optometrist

Phone

(773) 445-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen Marie Bush, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1487810313
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Jane Bush, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1821348343
  Medicare reassignment Care Compare group NPD
• Camilla Joe, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1598210213
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1104247519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552018",
            "telephone_number": "773-445-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-445-2700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Busch Enterprises, Inc. (Amada Senior Care Chicago)
• Daniel Avery Busch, MD
• Kaitlin Busch
• Kenneth Gary Busch, MD
• Steven F. Busch
• Charles A Bush-Joseph, M.D.
• Andrea Bush
• Angela Bush
• Ashley Bush
• Chioma Bush, MD

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.