| Dr Steve T. Bussa O.d., P.l.l.c. | |
|
331 N University Dr Ste M2-1200 Plantation FL 33324-1975 | |
| (954) 625-2388 | |
| (954) 625-2390 |
| Full Name | Dr Steve T. Bussa O.d., P.l.l.c. |
|---|---|
| Speciality | Optometrist |
| Location | 331 N University Dr Ste M2-1200, Plantation, Florida |
| Authorized Official Name and Position | Steve Timothy Bussa (CEO) |
| Authorized Official Contact | 7752320513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steve T. Bussa O.d., P.l.l.c. 331 N University Dr Ste M2-1200 Plantation FL 33324-1975 Ph: (954) 625-2388 | Dr Steve T. Bussa O.d., P.l.l.c. 331 N University Dr Ste M2-1200 Plantation FL 33324-1975 Ph: (954) 625-2388 |
| NPI Number | 1356573430 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 5193870343 |
|---|---|
| Medicare Enrollment ID | O20090911000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356573430 | NPI | - | NPPES |
| TYNMD3P3 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC4301 (Florida) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Steve T Bussa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093965964 PECOS PAC ID: 2668527813 Enrollment ID: I20090911000325 |
| Provider Name | Alexandra N Kehoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952697625 PECOS PAC ID: 6204008121 Enrollment ID: I20120109000744 |
| Provider Name | Brice C Hsu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902422793 PECOS PAC ID: 7315358819 Enrollment ID: I20201203002443 |
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