Eric Steven Bushman, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

2181 Issued in AZ

Practice address

16020 N 35TH Ave Ste 2
Phoenix, AZ 85053-3823

Phone

(602) 547-3255

NPI assigned

Jun 27, 2017

Sex

Male

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

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 28, 2021 through Jun 28, 2027

Medicare enrollment (NPD)

Not 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.

• Arrowhead Optometry

  • Optometrist
  • Glendale, AZ
  • NPI 1841066198
  NPD Authorized official
• Aleta B. Gong-Tang, OD, PC

  • Optometrist
  • Phoenix, AZ
  • NPI 1235301896
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1992226237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 N 35TH AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533823",
            "telephone_number": "602-547-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 N 35TH AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533823",
            "telephone_number": "602-547-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Bush, RN
• Jennifer Lynn Bush, D.C.
• Joseph Kerry Bush, M.D.
• Melissa Lynn Bush, RNP
• Sarah Bushbaum, BS, DTR
• Ivan Scott Bushman, RN
• Monique Lynne Bushman, M.D.
• Teresa Renee Bushman
• Mary Lu Bushnell, PSY.D.
• Elby Bushong IV

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.