Individual provider Active NPI

Emily Martin Bussey, O.D.

  • Optometrist
  • Bartlesville, OK
National Provider Identifier
1669583654
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2481 Issued in OK
Practice address
2419 Nowata PL
Ste 103
Bartlesville, OK 74006-4708
Phone
(918) 333-9292
Fax
(918) 333-9295
NPI assigned
Aug 31, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

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

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
I20070829000170 OK Practitioner - Optometry 5799877288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Emily M. Bussey, O.D. P.C.Group PAC ID 7012102841, 3 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2481OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emily M. Bussey, O.D. P.C. Optometrist CurrentSince Nov 9, 2010 Accepting new patients
Eyecare Associates of South Tulsa PC Optometrist PastSince Nov 9, 2010 Accepting new patients
Jerry B. Carter, O.D. Past Accepting new patients

Locations

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

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1669583654",
    "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": "918-333-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "EMILY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.