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

Derek Busenbark Ames, OD

Individual provider Optometrist · NPI 1174836431

Derek Busenbark Ames, OD is an Optometry in St George, Utah. Graduated from Pacific University - College of Optometry in 2010, 16 years ago. Licensed in Utah.

Years since qualifying
16
Trained at
Pacific University - College of Optometry
Licensed in
UT
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

2610 Pioneer Rd
St George, UT 84790-7442
Phone: (435) 674-9770
Fax: (435) 674-9771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 7693840-9934 (UT)

Record details

NPI number1174836431
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 15, 2010
Last updated in NPPESJune 14, 2012
Mailing address2610 Pioneer Rd, St George, UT 84790-7442

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

Other providers in St George