Organization Active NPI

Kristina L. Buster, O.D., P.C.

Doing business as Sunrise Eye Care

  • Optometrist
  • Salmon, ID
National Provider Identifier
1740454396
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KRISTINA L. BUSTER, O.D., P.C.
Doing business as
Sunrise Eye Care
Practice address
100 Courthouse Dr
Ste. F
Salmon, ID 83467-3919
Phone
(208) 756-3777
Fax
(208) 756-3778
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Kristina Lee Buster, O.D.
Title
Owner
Phone
(208) 756-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 Courthouse Dr
Ste. F
Salmon, ID 83467-3919

Mailing address

100 Courthouse Dr
Ste. F
Salmon, ID 83467-3919
Phone (208) 756-3777

Other names 1

  • Sunrise Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

100 Courthouse Dr
Ste F
Salmon, ID 83467
Phone (208) 756-3777

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1740454396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COURTHOUSE DR",
            "address_2": "STE. F",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834673919",
            "telephone_number": "208-756-3777",
            "fax_number": "208-756-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COURTHOUSE DR",
            "address_2": "STE. F",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834673919",
            "telephone_number": "208-756-3777",
            "fax_number": "208-756-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA L. BUSTER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BUSTER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-756-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.