Bert John Bubela, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5893TG Issued in TX

Practice address

1200 E Eldorado Pkwy
Suite 100
Little Elm, TX 75068-5582

Phone

(972) 292-0900

Fax

(972) 292-0908

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Elm Eye Care, P.a.Group PAC ID 8022092576, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Elm Eye Care, P.a.

  • Optometrist
  • Little Elm, TX
  • NPI 1154546018
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1568458792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBELA",
        "first_name": "BERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5893TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "81008Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Brown, HWP, NRCCS, CPPM,CCA
• Shelton Lewis Brown
• Synedra Inez Brumfield, CST
• Kathryn Muehlstein Bryan, DC
• Vanessa Bryant, LPC
• Leslie Ann Bubela, O.D.
• Larhonda Burks
• Stacie J Burt, LSA
• Doreen Helen Busque, LMT
• C C Rogers Counseling PLLC

• Optometrist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.

Verify at the official NPI Registry.