Bricker B Buseth

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRICKER B BUSETH

Doing business as

Mobile Vision

Practice address

2500 Reynolds Rd
Jackson, MI 49201-9376

Phone

(517) 879-7470

NPI assigned

Jun 7, 2020

Last updated

Jul 27, 2020By 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

Brenda Buseth

Title

Director

Phone

(517) 879-7470

Specialties & licenses 1

Addresses

Other names 1

• Mobile Vision Doing business as

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.

• Bricker B Buseth, O.D.

  • Optometrist
  • Jackson, MI
  • NPI 1356329338
  NPD

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1548884307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 REYNOLDS RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019376",
            "telephone_number": "517-879-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 REYNOLDS RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019376",
            "telephone_number": "517-879-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKER B BUSETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BUSETH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-879-7470"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.