Brianna Lynn Bush, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004638 Issued in MI

Practice address

1063 S State Rd Ste 3
Davison, MI 48423-1900

Phone

(810) 658-2020

Fax

(810) 658-5307

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pco PCGroup PAC ID 4385746320, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Pco PC

  • Optometrist
  • Davison, MI
  • NPI 1114082047

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• America'S Best Contacts & Eyeglasses

  • Optician
  • Saginaw, MI
  • NPI 1366673485
  NPD (past)
• Eyecare Associates

  • Optometrist
  • Davison, MI
  • NPI 1760686745
  NPD (past)
• James H English OD PC

  • Optometrist
  • Swartz Creek, MI
  • NPI 1447413489
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1750679809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 FAIR OAKS DR",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389474",
            "telephone_number": "586-980-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 3",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-658-2020",
            "fax_number": "810-658-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Dixon, LLPC, PLLC
• Steven Brooks, MS, LLP
• Heather Marie Brown, MA CCC-SLP
• Karen Denise Brown, LPN
• Verneda Burnett, CHW
• Jaime K Caldwell, LMT
• Nuvia Calix
• Tereasa Renee Calleja, PT
• Tiffany Sue Callicoat, PHARMD
• Amy Marie Campbell

• All providers in Davison, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.