NPIMap

Individual provider Active NPI

Erin Michelle Buck, O.D.

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1003046871
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003615A Issued in IN
Practice address
1701 Library Blvd
Suite I
Greenwood, IN 46142-1567
Phone
(317) 300-1460
Fax
(317) 300-1487
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003615A IN Primary

Addresses

Primary practice location

1701 Library Blvd
Suite I
Greenwood, IN 46142-1567

Mailing address

1701 Library Blvd
Suite I
Greenwood, IN 46142-1567
Phone (317) 300-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003615AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shimp Optical Corp PastSince Sep 17, 2020 Accepting new patients
Busby Eye Care, LLC Optometrist PastSince Sep 8, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drkriel@christievisioncare.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1003046871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LIBRARY BLVD",
            "address_2": "SUITE I",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421567",
            "telephone_number": "317-300-1460",
            "fax_number": "317-300-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LIBRARY BLVD",
            "address_2": "SUITE I",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421567",
            "telephone_number": "317-300-1460",
            "fax_number": "317-300-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003615A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.