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

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR STEVE T. BUSSA O.D., P.L.L.C.

Practice address

331 N University Dr Ste M2-1200
Plantation, FL 33324-1975

Phone

(954) 625-2388

Fax

(954) 625-2390

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steve Timothy Bussa, OPTOMETRIC PHYSICIANNPI 1093965964

Title

Ceo

Phone

(775) 232-0513

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Dr Steve T Bussa OD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dr. Steve T. Bussa O.D., P.L.L.C.

  • Ophthalmology Physician
  • Plantation, FL
  • NPI 1205470101
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Timothy Bussa, O.D.

  • Optometrist
  • Plantation, FL
  • NPI 1093965964
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Nicole Kehoe, O.D

  • Optometrist
  • Plantation, FL
  • NPI 1952697625
  Medicare reassignment Care Compare group NPD
• Brice Chen Hsu

  • Optometrist
  • Davie, FL
  • NPI 1902422793
  Medicare reassignment NPD

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1356573430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N UNIVERSITY DR STE M2-1200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241975",
            "telephone_number": "954-625-2388",
            "fax_number": "954-625-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N UNIVERSITY DR STE M2-1200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241975",
            "telephone_number": "954-625-2388",
            "fax_number": "954-625-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEVE T. BUSSA O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "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": "OPTOMETRIC PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OPC4301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TYNMD3P3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Kip Ring
• Dr Lester Eisenberg Optometrist PA
• Dr Maurees Kramer PA
• Dr Mayden Borrego
• Dr Parvonae Shaw P a
• Dr William Porter PA
• Dr Z Podiatry LLC
• Dr. Alice Family Dentistry
• Dr. Anhalt and Associates, P.a.
• Dr. Dawn Reilly, L.L.C.

• Optometrist in Plantation, FL
• Providers in Plantation, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.