Elise Bugenske, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002863 Issued in GA

Practice address

2230 Towne Lake Pkwy BLDG 600 Ste 100
Woodstock, GA 30189-2607

Phone

(770) 591-3511

Fax

(770) 591-3752

NPI assigned

Mar 31, 2015

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 GA

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

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pritchett Eye Care LLCGroup PAC ID 4981030673, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Bugenske Eyecare, LLC

  dba Family Eye Clinic at Towne Lake

  • Optometrist
  • Woodstock, GA
  • NPI 1487377925
  Medicare reassignment NPD Authorized official
• Pritchett Eye Care LLC

  • Optometrist
  • Johns Creek, GA
  • NPI 1659920726
  Medicare reassignment Care Compare group NPD
• Perimeter Vision Care, LLC

  dba Atlanta Eye Group Tucker

  • Optometrist
  • Atlanta, GA
  • NPI 1215611546
  Medicare reassignment NPD
• G3B Optical Holdings, LLC

  dba Oculist Optique

  • Optometrist
  • Alpharetta, GA
  • NPI 1699905075
  NPD
• Perimeter Vision Care, LLC

  dba Atlanta Eye Group

  • Optometrist
  • Atlanta, GA
  • NPI 1811527971
  NPD

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1952796567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY BLDG 600 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892607",
            "telephone_number": "770-591-3511",
            "fax_number": "770-591-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY BLDG 600 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892607",
            "telephone_number": "770-591-3511",
            "fax_number": "770-591-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012607",
            "country_code": "US",
            "telephone_number": "706-722-9601",
            "fax_number": "706-724-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUGENSKE",
        "first_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Morton Bryan, FNP-C
• Lauren Nicole Bryant
• Margaret Buchanan, OTR/L
• Lauren Buckhault, MED., BCBA
• Brandie Buckner
• Savannah Buice
• Molly Bullard, RBT
• Brandon Bullock
• Leah Ann Bulow, MSPT
• Amanda Marie Burns, DC

• Optometrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.