Individual provider Active NPI

Shawn Robert Busche, OD

  • Optometrist
  • Kingsport, TN
National Provider Identifier
1336072131
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4011 Issued in TN
Practice address
2600 E Stone Dr Ste 10
Kingsport, TN 37660-5919
Phone
(865) 217-1010
NPI assigned
Jun 3, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4011 TN Primary

Addresses

Primary practice location

2600 E Stone Dr Ste 10
Kingsport, TN 37660-5919

Mailing address

2501 Chrisman Mill Rd
Nicholasville, KY 40356-9681
Phone (507) 848-1127

Other practice location 1

2111 N Roan St Ste 35
Johnson City, TN 37601-2585
Phone (865) 217-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20260617000493 TN Practitioner - Optometry 5597237982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

2111 N Roan St
Suite 35
Johnson City, TN 37601-2585
Phone (865) 217-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Jun 4, 2026 Accepting new patients

Locations

2111 N Roan St
Ste 35
Johnson City, TN 37601
Phone (423) 282-6631

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

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.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1336072131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHRISMAN MILL RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569681",
            "telephone_number": "507-848-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E STONE DR STE 10",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605919",
            "telephone_number": "865-217-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 N Roan St Ste 35",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376012585",
            "country_code": "US",
            "telephone_number": "865-217-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCHE",
        "first_name": "SHAWN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.