Active NPI
Robert Sisson Busch
- Optician
- Tempe, AZ
National Provider Identifier
1932380193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 286
- Practice address
- 1726 E Southern Ave
Suite 6
Tempe, AZ 85282-5686 - Phone
- (480) 839-3711
- Fax
- (480) 456-3359
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 286 | AZ | Primary |
Addresses
Primary practice location
1726 E Southern Ave
Suite 6
Tempe, AZ 85282-5686
Mailing address
1726 E Southern Ave
Suite 6
Tempe, AZ 85282-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286 | AZ | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuvision Inc. | Optician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1932380193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 E SOUTHERN AVE",
"address_2": "SUITE 6",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 E SOUTHERN AVE",
"address_2": "SUITE 6",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825686",
"telephone_number": "480-839-3711",
"fax_number": "480-456-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "ROBERT",
"middle_name": "SISSON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AZ",
"license": "286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.