# JAMES A. BUSACK, EYEMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700069713
- **Authorized official:** DR. JAMES ANTHONY BUSACK D.O. (MANAGING MEMBER)
- **Authorized official phone:** (301) 668-2020

## Contact information

- **Practice address:** 470 W PATRICK ST, FREDERICK, MD 21701-4858
- **Practice address phone:** (301) 668-2020
- **Practice address fax:** (301) 620-8729
- **Mailing address:** 470 W PATRICK ST, FREDERICK, MD 21701-4858
- **Mailing address phone:** (301) 668-2020
- **Mailing address fax:** (301) 620-8729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | H31629 | MD | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 06/23/2014