Dr. Leslie J Busby, O.D.
Optometrist in Citrus Heights, CA. Individual provider (NPI-1).
NPI number1922073436
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1922073436
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leslie J Busby
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2006
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | CA08683T | CA | Yes |
Practice location
7115 Greenback LnFl1
Citrus Heights, CA 95621-6133
Phone 916-536-3550 · Fax 916-536-3554
Mailing address
3400 Data DrRancho Cordova, CA 95670-7956
Phone 916-379-2726 · Fax 916-853-7874
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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