Active NPI
Katelyn Bush, O.D.
- Optometrist
- Grafton, WV
National Provider Identifier
1932039872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3107
- Practice address
- 216 Lincoln St
Grafton, WV 26354-1442 - Phone
- (304) 265-1851
- Fax
- (304) 265-0028
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3107 | WV | Primary |
Addresses
Primary practice location
216 Lincoln St
Grafton, WV 26354-1442
Mailing address
25 W Bluemont St
Grafton, WV 26354-1242
Phone (304) 265-0312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3107 | WV | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1932039872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W BLUEMONT ST",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541242",
"telephone_number": "304-265-0312",
"fax_number": "304-265-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 LINCOLN ST",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263541442",
"telephone_number": "304-265-1851",
"fax_number": "304-265-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KATELYN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "3107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.