Dr. Steve Timothy Bussa, O.D.
Optometrist in Plantation, FL. Individual provider (NPI-1).
NPI number1093965964
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1093965964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Steve Timothy Bussa
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2008
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC4301 | FL | Yes |
| 152W00000X | Optometrist | 627 | NV |
Practice location
7045 W Broward BlvdPlantation, FL 33317-2205
Phone 954-625-2388 · Fax 954-625-2390
Mailing address
7045 W Broward BlvdPlantation, FL 33317-2205
Phone 954-625-2388 · Fax 954-625-2390
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