Individual provider Active NPI

Tate Buster, OD

  • Optometrist
  • Edmond, OK
National Provider Identifier
1538041520
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3290 Issued in OK
Practice address
16135 N May Ave Ste a
Edmond, OK 73013-8977
Phone
(405) 751-5638
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3290 OK Primary

Addresses

Primary practice location

16135 N May Ave Ste a
Edmond, OK 73013-8977

Mailing address

820 NW 4TH St
Newcastle, OK 73065-4274
Phone (405) 668-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250816000150 OK Practitioner - Optometry 5698274645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyesguys LLCGroup PAC ID 1456518745, 5 clinicians
Eye Health Associates P.L.L.C.Group PAC ID 0840294120, 7 clinicians

Practice addresses (Care Compare)

16135 N May Ave
Suite a
Edmond, OK 73013-8977
Phone (405) 751-5638

2946 NW 32ND St a
New Castle, OK 73065-6433
Phone (405) 387-4884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3290OKMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesguys LLC Optometrist CurrentSince Jul 21, 2025 Accepting new patients
Eye Health Associates, P.L.L.C. Optometrist CurrentSince Sep 7, 2025 Accepting new patients

Locations

16135 N May Ave
Ste A
Edmond, OK 73013
Phone (405) 626-5503

4250 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-0061

2946 NW 32nd St
Ste A
Newcastle, OK 73065
Phone (405) 387-4884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1538041520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NW 4TH ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730654274",
            "telephone_number": "405-668-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138977",
            "telephone_number": "405-751-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTER",
        "first_name": "TATE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.