Provider Demographics
NPI:1659740801
Name:BUSBY VISION, LLC
Entity Type:Organization
Organization Name:BUSBY VISION, LLC
Other - Org Name:BUSBY FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BUSBY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-771-7444
Mailing Address - Street 1:210 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2904
Mailing Address - Country:US
Mailing Address - Phone:201-771-7444
Mailing Address - Fax:201-771-7445
Practice Address - Street 1:210 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621
Practice Address - Country:US
Practice Address - Phone:201-771-7444
Practice Address - Fax:201-771-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty