Eye Care Specialists of Michigan, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE SPECIALISTS OF MICHIGAN, PLLC

Practice address

2489 Trautner Dr
Saginaw, MI 48604-9596

Phone

(989) 791-2020

Fax

(989) 791-2083

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Usha Kurumety Bulusu, MDNPI 1043202948

Title

Owner

Phone

(989) 791-2020

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Usha Kurumety Bulusu, M.D.

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1043202948
  Medicare reassignment Care Compare group NPD Authorized official
• Luann R Rickel, O.D.

  • Optometrist
  • Saginaw, MI
  • NPI 1952657686
  Medicare reassignment Care Compare group NPD
• Melissa Marie David, O.D.

  • Optometrist
  • Saginaw, MI
  • NPI 1205887171
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1346438199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-791-2020",
            "fax_number": "989-791-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 TRAUTNER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049596",
            "telephone_number": "989-791-2020",
            "fax_number": "989-791-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS OF MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BULUSU",
        "authorized_official_first_name": "USHA",
        "authorized_official_middle_name": "KURUMETY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-791-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ubulusu@ecsm.integrityemrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2489 Trautner Dr",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark E Ewing
• Nicholas S Ewing
• Excel Physical Therapy and Rehab PLLC
• Expected to Care LLC
• Eye Care Specialists of Michigan
• Chinonye Eze
• Katelynn M Ezell
• Justin Michael Fabish, AU.D.
• Sophia Monique Facundo
• Evelyn Issam Fadel, MD

• Ophthalmology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.