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

Dr. John R Vanderbush, OD

Individual provider Optometrist · NPI 1659687242

Dr. John R Vanderbush, OD is an Optometry in Fayetteville, Arkansas. Graduated from Southern College of Optometry in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
16
Trained at
Southern College of Optometry
Licensed in
AR
In the registry since
2010
Specialties on file
3
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

1915 N Green Acres Rd
Fayetteville, AR 72703-2617
Phone: (479) 442-8961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2658 (AR)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 2658 (AR)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2658 (AR)

Record details

NPI number1659687242
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 20, 2010
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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