DR. BLAKE ROBERT BUSH O.D.
NPI 1235395542
Optometrist in Ardmore, OK

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
908 N ROCKFORD RD, SUITE E, ARDMORE, OK 73401(580) 223-7333(580) 319-4411 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Southern College Of Optometry (2008).

NPPES Registry Identity

NPI1235395542
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BLAKE ROBERT BUSHCredential: O.D.
Location Address908 N ROCKFORD RD, SUITE EArdmore, OK 73401-2540
Mailing Address908 N Rockford Rd, Suite EArdmore, OK 73401-2540 · (580) 223-7333 · Fax (580) 319-4411
Fax(580) 319-4411
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2008
Enumeration DateAugust 6, 2008
Last NPPES UpdateMay 12, 2015
NPI 1235395542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 2550
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2550 (OK)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2550 (OK)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2550 (OK)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 2550 (OK)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2550 (OK)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 2550 (OK)
908 N ROCKFORD RD, Ardmore, OK 73401

Other Identifiers 1

Medicaid200205700AOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5092862086
PECOS Enrollment IDI20090408000440
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
93 services93 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
77 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

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.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
908 N ROCKFORD RD, SUITE E
ARDMORE, OK 73401
Family Medicine
908 N ROCKFORD RD, SUITE G
ARDMORE, OK 73401
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
908 N ROCKFORD RD, SUITE J
ARDMORE, OK 73401
Physician Assistant (Medical)
908 N ROCKFORD RD
ARDMORE, OK 73401
Clinic/Center (Urgent Care)
908 N ROCKFORD RD
ARDMORE, OK 73401
Nurse Practitioner (Family)
908 N ROCKFORD RD
ARDMORE, OK 73401
Physical Therapist (Sports)
908 N ROCKFORD RD, SUITE C
ARDMORE, OK 73401
Clinic/Center (Radiology)
908 N ROCKFORD RD, SUITE C
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.

What insurance does Blake Bush accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 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 with the weekly NPPES data releases published by CMS.