Dr Bugenske Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR BUGENSKE EYECARE, LLC

Doing business as

Family Eye Clinic at Towne Lake

Practice address

2230 Towne Lake Pkwy BLDG 600 Ste 100
Woodstock, GA 30189-3018

Phone

(770) 591-3511

Fax

(770) 591-3752

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elise Bugenske, ODNPI 1952796567

Title

Optometrist

Phone

(470) 277-4902

Specialties & licenses 1

Addresses

Other names 1

• Family Eye Clinic at Towne Lake Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise Bugenske, OD

  • Optometrist
  • Woodstock, GA
  • NPI 1952796567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1487377925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY BLDG 600 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-591-3511",
            "fax_number": "770-591-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY BLDG 600 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893018",
            "telephone_number": "770-591-3511",
            "fax_number": "770-591-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BUGENSKE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "BUGENSKE",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "470-277-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic at Towne Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita Gceo Douglas, CEO
• Matthew Dustin Dowdy
• Austin George Doyle, DMD
• Tabitha Doyle, MS, LPC
• Bethann Doyno
• Dr Emu, LLC
• Dr. Heidi Arabia LLC
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• Elizabeth Draggoo, M.ED., CCC-SLP
• Drblab, Inc (Right at Home)

• Optometrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.