NPIMap

Organization Active NPI

Emily M. Bussey, O.D. P.C.

Doing business as Bussey Eyecare Center

  • Optometrist
  • Bartlesville, OK
National Provider Identifier
1508182585
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2481 Issued in OK
Legal business name
EMILY M. BUSSEY, O.D. P.C.
Doing business as
Bussey Eyecare Center
Practice address
2419 Nowata PL
Ste. 103
Bartlesville, OK 74006-4708
Phone
(918) 333-9292
Fax
(918) 333-9292
NPI assigned
Apr 15, 2010
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Dr. Emily M Bussey, O.D.NPI 1669583654
Title
Owner/Optometrist
Phone
(918) 333-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2481 OK Primary

Addresses

Primary practice location

2419 Nowata PL
Ste. 103
Bartlesville, OK 74006-4708

Mailing address

2225 SE Washington Blvd
Bartlesville, OK 74006-7136
Phone (918) 333-9292

Other identifiers 1

IdentifierTypeStateIssuer
200238910AMedicaidOK

Other names 1

  • Bussey Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000128 OK Part B Supplier - Clinic/Group Practice 7012102841 Receives reassigned benefits from 7 practitioners
Practice locations: Bartlesville, OK

National Provider Directory

National Provider Directory

Locations

2419 Nowata Pl
Ste 103
Bartlesville, OK 74006
Phone (918) 333-9292

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1508182585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067136",
            "telephone_number": "918-333-9292",
            "fax_number": "918-333-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 NOWATA PL",
            "address_2": "STE. 103",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064708",
            "telephone_number": "918-333-9292",
            "fax_number": "918-333-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY M. BUSSEY, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "918-333-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bussey Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.