Jennifer Buschbach, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011654 Issued in IL

Practice address

675 W North Ave Ste 107
Melrose Park, IL 60160-1622

Phone

(708) 450-4510

Fax

(708) 450-9361

NPI assigned

Jul 18, 2022

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Ohio State University - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennenbaum and Anstadt, LTDGroup PAC ID 7618985730, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbuschbach@iloc.intellechartdirect.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.

• Tennenbaum and Anstadt, LTD

  dba Gottlieb Eye Center

  • Ophthalmology Physician
  • Melrose Park, IL
  • NPI 1750495321
  Medicare reassignment Care Compare group NPD
• Family Eye Physicians, LTD

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1730252230

  Optometrist

  Medicare reassignment NPD
• Tennenbaum and Anstadt, LTD

  dba Gottlieb Eye Center

  • Eyewear Supplier
  • Melrose Park, IL
  • NPI 1740530971
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1265167050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 107",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601622",
            "telephone_number": "708-450-4510",
            "fax_number": "708-450-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 107",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601622",
            "telephone_number": "708-450-4510",
            "fax_number": "708-450-9361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Willow Springs Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "LA Grange Highlands",
            "state": "IL",
            "postal_code": "605256545",
            "country_code": "US",
            "telephone_number": "708-531-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCHBACH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbuschbach@iloc.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "675 W North Ave Ste 107",
            "city": "Melrose Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601601622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gloria Buentello, M.D.
• Katarzyna Teresa Buksa
• Richard A Bunsold
• Kimberly Ann Burke, CRNA
• Susan Georgia Burke, MSW, LCSW
• Jonathan A Butz, LCPC
• Kyle Butzine
• Kinga Anna Cachro
• Cristen Cademartori
• Dana Callico

• Optometrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.