Individual provider Active NPI

Michael E Bush, O.D.

  • Optometrist
  • Burlington, IA
National Provider Identifier
1891747234
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02028 Issued in IA
Practice address
3017 West Ave.
Burlington, IA 52601
Phone
(319) 752-1400
Fax
(319) 752-1401
NPI assigned
May 16, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02028 IA Primary

Addresses

Primary practice location

3017 West Ave.
Burlington, IA 52601

Mailing address

3017 West Ave.
Burlington, IA 52601
Phone (319) 752-1400

Other identifiers 1

IdentifierTypeStateIssuer
0129478MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20041108000520 IA Practitioner - Optometry 1850354101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

1534 28TH Ave N
Fort Dodge, IA 50501-7602

3017 W Ave
Burlington, IA 52601-1561
Phone (319) 752-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Burlington Family Eyecare PC Optometrist CurrentSince Nov 6, 2008 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Locations

3017 West Ave
Burlington, IA 52601
Phone (319) 752-1400

1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145

Interoperability endpoints

  • Direct secure messaging: drbush@burlingtonfamilyeyecare.direct.eyemdemr.com

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1891747234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 WEST AVE.",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-752-1400",
            "fax_number": "319-752-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 WEST AVE.",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-752-1400",
            "fax_number": "319-752-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129478",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

Verify at the official NPI Registry.