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
Mailing address5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847

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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