Organization Active NPI

Dr. Steve T. Bussa O.D., P.L.L.C.

Doing business as Premier Eye Centers of South Florida

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1205470101
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DR. STEVE T. BUSSA O.D., P.L.L.C.
Doing business as
Premier Eye Centers of South Florida
Practice address
7045 W Broward Blvd
Plantation, FL 33317-2205
Phone
(954) 625-2388
NPI assigned
Nov 4, 2019
Organization subpart
Yes
Parent organization
PREMIER EYE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Dr. Steve Timothy Bussa, ODNPI 1093965964
Title
Ceo
Phone
(775) 232-0513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7045 W Broward Blvd
Plantation, FL 33317-2205

Mailing address

1201 N Federal Hwy
Ste 2a
Fort Lauderdale, FL 33338-4099
Phone (775) 232-0513

Other practice location 1

7840 Glades Rd Ste 245
Boca Raton, FL 33434-4102
Phone (561) 482-8300

Other practice location 2

3650 Forest Hill Blvd Ste 2
West Palm Beach, FL 33406-5662
Phone (561) 964-1359

Other identifiers 1

IdentifierTypeStateIssuer
107890500MedicaidFL

Other names 1

  • Premier Eye Centers of South Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Steve T Bussa OD PLLC2 organizations share this tax ID, including this one
Part of
Premier Eye Center Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7045 W Broward Blvd
Plantation, FL 33317
Phone (954) 625-2388

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1205470101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N FEDERAL HWY",
            "address_2": "STE 2A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384099",
            "telephone_number": "775-232-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172205",
            "telephone_number": "954-625-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 Glades Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334344102",
            "country_code": "US",
            "telephone_number": "561-482-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Forest Hill Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065662",
            "country_code": "US",
            "telephone_number": "561-964-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. STEVE T. BUSSA O.D., P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER EYE CENTER INC",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BUSSA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-232-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107890500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Centers of South Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Eye Centers of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.