TATE BUSTER (OD) – Optometrist, NPI 1538041520

TATE BUSTER (OD) is a healthcare provider. based in Edmond, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3290 (OK). The NPI Number for TATE BUSTER (OD) is 1538041520

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
TATE BUSTER (OD)
NPI
1538041520
Phone
(405) 751-5638
Address
16135 N MAY AVE STE A
Enumeration Date
22 July 2025
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053874884
Graduation Year
2025 (1 year ago)
PAC ID
5698274645
Group Practice PAC ID
0840294120
Professional Enrollment ID
I20250816000150
Address ID
OK730656433NE2946XAXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for TATE BUSTER (OD)

  • 16135 N MAY AVE STE A

    EDMOND, OK 730138977

    Phone: (405) 751-5638

    Type: Location

  • 820 NW 4TH ST

    NEWCASTLE, OK 730654274

    Phone: (405) 668-0506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250816000150IOptometryOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840294120View full group profile
NameSpecialtyState
O P T O M E T R YOK
-OK
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YKY
O P T O M E T R YOK
O P T O M E T R YOK
O P T O M E T R YOK

Reviews

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Frequently asked questions

How is TATE BUSTER (OD) identified in CMS data?
CMS-hosted NPPES data lists TATE BUSTER (OD) with NPI 1538041520.
Does CMS list TATE BUSTER (OD) as active?
Yes — TATE BUSTER (OD) is active in the NPI listing used on this page.
What is TATE BUSTER (OD) best known for clinically?
Directory data describes TATE BUSTER (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect TATE BUSTER (OD) on a map?
Expect Edmond, Oklahoma as a primary anchor for TATE BUSTER (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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