MARK B BUSCH (NPI# 1124167937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124167937 |
| Entity Type | Individual |
| Full Name | MARK B BUSCH |
| Credential | OD |
| Practice Address |
4005 167th St Country Club Hills IL 60478-2070 |
| Practice Telephone | 7087990920 |
| Practice Fax Number | 7087996310 |
| Mailing Telephone | 7087990920 |
| Mailing Fax Number | 7087981349 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.006948 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306383559 | Mark Busch | Pharmacist | 440 West St, Keene, NH 03431-2453 | 2017-01-26 |
| Street Address |
4005 167TH ST |
| City | COUNTRY CLUB HILLS |
| State | IL |
| Zip Code | 60478-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171075 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4005 167th St, Country Club Hills, IL 60478-2070 | 2006-06-12 |
| 1114527397 | Janel Horn | Specialist/Technologist | 4005 167th St, Country Club Hills, IL 60478-2070 | 2020-10-28 |
| 1750466066 | Wal-mart Stores, Inc | Technician/Technologist | 4005 167th St, Country Club Hills, IL 60478-2022 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285266296 | Infinity Love Care LLC | Hospice Care, Community Based | 1153 Williamsburg Road, Country Club Hills, IL 60478 | 2020-02-07 |
| 1467911313 | Atlas & Associates, Inc | Durable Medical Equipment & Medical Supplies | 4907 Sunset Lane, Country Club Hills, IL 60478 | 2019-03-19 |
| 1780196022 | Katrina Crosby | Non-emergency Medical Transport (VAN) | 18261 Ravisloe Terrace, Country Club Hills, IL 60478 | 2017-10-26 |
| 1063949675 | Rashunda Lee | Nurse Practitioner | 17469 Park Lane, Country Club Hills, IL 60478 | 2017-05-12 |
| 1558809947 | Jaylin Omauri Banks | Specialist/Technologist | 17791 Princeton Lane, Country Club Hills, IL 60478 | 2017-02-06 |
| 1083072276 | Lynn Banks | Occupational Therapy Assistant | 17800 Rosewood Terrace, Country Club Hills, IL 60478 | 2016-02-03 |
| 1215323019 | Norm Brown | Case Management | 19432 Elm Dr, Country Club Hills, IL 60478 | 2015-04-09 |
| 1265841746 | Glorinda Conley Henry | Health Educator | 4131 W. 192nd Pl., Country Club Hills, IL 60478 | 2014-08-08 |
| 1447663398 | Lillian Moore | Nurse Practitioner | 4724 West 175th Place, Country Club Hills, IL 60478 | 2014-06-09 |
| 1578999348 | Ihuoma C Ozoh | Pharmacist | 18331 Mulberry Terrace, Country Club Hills, IL 60478 | 2013-09-24 |
| Find all providers in zip 60478 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | COUNTRY CLUB HILLS |
| Zip Code | 60478 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.