DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BLAKE ROBERT BUSH, O.D.

Active Sole Proprietor

Optometrist · ARDMORE, OK

Registration Details

NPI Number
1235395542
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2008 (17.75202643817 yrs)
Last Updated
May 12, 2015
Licenses
2550 (OK)
2550 (OK)
2550 (OK)
2550 (OK)
2550 (OK)
Sole Proprietor
Yes

Practice Information

Address
908 N ROCKFORD RD
SUITE E
ARDMORE, OK, 734012540
Browse OK providers · Browse ZIP 73401
Phone
5802237333
Fax
5803194411
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist

Other Optometrist Providers in ARDMORE, OK

Name Credential NPI
DR. SARAH LITTEKEN ROSS O.D 1417955352
DR. DON PAUL MARTIN O.D. 1932197720
DR. JOHN BARRY BARRINGER OD 1528056140
DAVID STEVE HOBBS O.D. 1790710101
DR. RYAN LEE PARKER O.D. 1902981400
DR. MARY REBECCA BARNES O.D. 1144367095
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.