Active NPI
Scott J Bushinger, O.D.
- Optometrist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007211-1
- Practice address
- 5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847 - Phone
- (315) 422-4412
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007211-1 | NY | Primary |
Addresses
Primary practice location
5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Mailing address
5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Phone (315) 422-4412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 E State St
Herkimer, NY 13350-2335
Phone (315) 894-3132
2730 State Route 12B
Hamilton, NY 13346-2113
Phone (315) 797-8330
4 Ellinwood Dr
New Hartford, NY 13413-1110
Phone (315) 797-8330
409 Chestnut St
Oneonta, NY 13820-2120
Phone (607) 644-0556
53 Public SQ
Suite 102
Watertown, NY 13601-2674
Phone (315) 691-6379
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 97.06
- Improvement activities
- 40
- Cost
- 48.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007211-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Costello Eye Physicians & Surgeons, PLLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Eye Designs Unlimited Optometry PC | Optometrist | Past | Accepting new patients |
| Eye Consultants of Syracuse PC | Past | Accepting new patients |
Locations
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330
250 E State St
Herkimer, NY 13350
Phone (315) 866-3668
8511 126th St
Kew Gardens, NY 11415
Phone (718) 849-7773
8521 126th St
Kew Gardens, NY 11415
Phone (718) 849-7773
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
4551 Commercial Dr
New Hartford, NY 13413
Phone (315) 768-1000
4 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 624-5960
131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110
409 Chestnut St
Oneonta, NY 13820
Phone (607) 644-0556
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
Interoperability endpoints
- sjb@ceps2056.srs-direct.com
- https://app.meldrx.com/api/fhir/Freedom_CEP
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Oneida, NY
- NPI 1699785832
Optometrist
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
-
- Durable Medical Equipment & Medical Supplies
- Fulton, NY
- NPI 1932892247
-
- Optometrist
- Utica, NY
- NPI 1750463006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1417142837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5792 WIDEWATERS PKWY STE 101",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141847",
"telephone_number": "315-422-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5792 WIDEWATERS PKWY STE 101",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141847",
"telephone_number": "315-422-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHINGER",
"first_name": "SCOTT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007211-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.