Individual provider Active NPI

Kathleen I Busby, O.D.

  • Optometrist
  • Westfield, IN
National Provider Identifier
1356386197
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IN18002880 Issued in IN
Practice address
16409 Southpark Dr
Suite B
Westfield, IN 46074-8470
Phone
(317) 896-5005
Fax
(317) 896-5335
NPI assigned
Jun 17, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IN18002880 IN Primary

Addresses

Primary practice location

16409 Southpark Dr
Suite B
Westfield, IN 46074-8470

Mailing address

16409 Southpark Dr
Suite B
Westfield, IN 46074-8470
Phone (317) 896-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080710000443 IN Practitioner - Optometry 6103998943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Busby Eye Care, LLCGroup PAC ID 3173695913, 6 clinicians

Practice addresses (Care Compare)

16409 Southpark Dr
Westfield, IN 46074-8471
Phone (317) 896-5505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN18002880INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitson Vision, PC Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1356386197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748470",
            "telephone_number": "317-896-5005",
            "fax_number": "317-896-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748470",
            "telephone_number": "317-896-5005",
            "fax_number": "317-896-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "KATHLEEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN18002880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.