Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Scott J Bushinger, OD

Individual provider Optometrist · NPI 1417142837

Dr. Scott J Bushinger, OD is an Optometry in Syracuse, New York. Graduated from State University of New York - State College Optometry in 2007, 19 years ago. Practices with Costello Eye Physicians and Surgeons PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Phone: (315) 422-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007211-1 (NY)

Record details

NPI number1417142837
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 10, 2007
Last updated in NPPESApril 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2007 (19 years in practice)
Group practice Costello Eye Physicians And Surgeons Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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