Organization Active NPI

Izabella Busher Optometry LLC

  • Optometrist
  • Brodheadsville, PA
National Provider Identifier
1710895552
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IZABELLA BUSHER OPTOMETRY LLC
Practice address
107 Kinsley Dr Ste 102
Brodheadsville, PA 18322-7800
Phone
(610) 681-6116
Fax
(610) 681-6128
NPI assigned
Sep 1, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Izabella Busher, OD
Title
Doctor
Phone
(484) 695-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

107 Kinsley Dr Ste 102
Brodheadsville, PA 18322-7800

Mailing address

107 Kinsley Dr Ste 102
Brodheadsville, PA 18322-7800

National Provider Directory

National Provider Directory

Locations

107 Kinsley Dr
Ste 102
Brodheadsville, PA 18322
Phone (610) 681-6116

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1710895552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KINSLEY DR STE 102",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KINSLEY DR STE 102",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227800",
            "telephone_number": "610-681-6116",
            "fax_number": "610-681-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZABELLA BUSHER OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BUSHER",
        "authorized_official_first_name": "IZABELLA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "484-695-7977",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.