Dr. Blake Robert Bush
Optometrist Sports Vision Occupational Vision Pediatric Optomitrist and 3 more
908 N Rockford Rd Suite E
Ardmore
, Oklahoma 73401-2540
Dr. Blake Robert Bush
Optometrist Sports Vision Occupational Vision Pediatric Optomitrist and 3 more
908 N Rockford Rd Suite E
Ardmore
, Oklahoma 73401-2540
(580) 319-4411
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Optomitrist - Low Vision Rehabilitation
- Pediatric Optomitrist
- Sports Vision
- Optomitrist - Vision Therapist
- Occupational Vision
Languages spoken
- English
Location
First Address
- Dr. Blake Robert Bush
- 908 N Rockford Rd Suite E
- Ardmore, OK
- Zip : 73401-2540
- Fax : (580) 319-4411
- Phone : (580) 223-7333
Second Address
- Dr. Blake Robert Bush
- 908 N Rockford Rd Suite E
- Ardmore, OK
- Zip : 73401-2540
- Fax : (580) 319-4411
- Phone : (580) 223-7333
Reviews
FAQs
Where did Dr. Blake Robert Bush attend graduate school?
Where did Dr. Blake Robert Bush do his residency?
Where did Dr. Blake Robert Bush do his fellowship?
Is Dr. Blake Robert Bush board certified?
What type of doctor is Dr. Blake Robert Bush
In what state does Dr. Blake Robert Bush practice in?
Where is Dr. Blake Robert Bush ’s practice located?
What is Dr. Blake Robert Bush ’s gender?
Is Dr. Blake Robert Bush a sole practitioner?
Is Dr. Blake Robert Bush accepting new patients?
What languages does Dr. Blake Robert Bush speak?
Does Dr. Blake Robert Bush accept insurance?
Does Dr. Blake Robert Bush offers telemedicine?
What is Dr. Blake Robert Bush ’s professional license number?
What is Dr. Blake Robert Bush ’s NPI number?
Does Dr. Blake Robert Bush have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2550 | OK |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2550 | OK |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 2550 | OK |
| N | 152WP0200X | Pediatric Optomitrist | 2550 | OK |
| N | 152WS0006X | Sports Vision | 2550 | OK |
| N | 152WV0400X | Optomitrist - Vision Therapist | 2550 | OK |
| N | 152WX0102X | Occupational Vision | 2550 | OK |
National Provider Identifier
| NPI | 1235395542 |
|---|---|
| Provider Name | Dr. Blake Robert Bush |
| First Address | Ardmore, OK 73401-2540 |
| Second Address | Ardmore, OK 73401-2540 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2008 |
| Last Update Date | 12/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200205700A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.