James a. Busack, Eyemd, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H31629 Issued in MD

Legal business name

JAMES A. BUSACK, EYEMD, LLC

Practice address

470 W Patrick St
Frederick, MD 21701-4858

Phone

(301) 668-2020

Fax

(301) 620-8729

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Anthony Busack, D.O.

Title

Managing Member

Phone

(301) 668-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1700069713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014858",
            "telephone_number": "301-668-2020",
            "fax_number": "301-620-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014858",
            "telephone_number": "301-668-2020",
            "fax_number": "301-620-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. BUSACK, EYEMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BUSACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-668-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "H31629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.