DR. BLAKE ROBERT BUSH O.D.
NPI 1235395542
Optometrist in Ardmore, OK
About Dr. Blake Robert Bush O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE ROBERT BUSH O.D. (NPI 1235395542) is an individual optometrist in Ardmore, Oklahoma, licensed in Oklahoma (2550) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blake Robert Bush O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Blake Bush reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ardmore, OK 73401
- Reassigned Medicare billing, Oklahoma enrollment
- 2 clinicians in this Medicare group
Broken Arrow, OK 74011
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: J D Hudkins Od Inc
- 2 clinicians in this Medicare group
Waverly, TN 37185
- Reassigned Medicare billing, Tennessee enrollment
- 365 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARDMORE, OK 73401
ARDMORE, OK 73401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Bush's NPI number?
The NPI number for Blake Bush is 1235395542. It was assigned to this individual provider in the NPPES registry on August 6, 2008.
Where is Blake Bush located?
Blake Bush practices at 908 N Rockford Rd Suite E, Ardmore, OK 73401. The listed phone number is (580) 223-7333.
What is Blake Bush's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Blake Bush enrolled in Medicare?
Yes. Blake Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Blake Bush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Bush reassigns Medicare benefits to 3 organizations: Blake Bush Family Eyecare Inc. (Ardmore, OK), J D Hudkins O D Inc (Broken Arrow, OK) and Tennessee Orthopaedic Alliance PA (Waverly, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Bush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blake Bush accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Blake Bush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blake Bush was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Blake Robert Bush, O.D. · NPI 1235395542
Optometrist provider in Ardmore, Oklahoma. Individual provider, active in the CMS NPPES registry since August 6, 2008.
## Identity
- **NPI:** 1235395542 (Entity type: Individual)
- **Enumerated:** August 6, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2550 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 908 N ROCKFORD RD, SUITE E, Ardmore, OK 73401-2540
- **Phone:** (580) 223-7333 · **Fax:** (580) 319-4411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Blake Bush Family Eyecare Inc. (NPI 1043573470, Ardmore, OK); J D Hudkins O D Inc (NPI 1669509683, Broken Arrow, OK); Tennessee Orthopaedic Alliance PA (NPI 1023140126, Waverly, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** May 12, 2015
- **Other identifiers:** Medicaid 200205700A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1235395542) · Data from the CMS NPPES public registry.