Ian Buchli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001798 Issued in GA

Practice address

90 Village at Glynn PL
Brunswick, GA 31525-1993

Phone

(912) 264-6000

Fax

(912) 264-0808

NPI assigned

Mar 23, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Optical Illusions, P.C.

  dba Vision Source Family Eye Care

  • Optometrist
  • Brunswick, GA
  • NPI 1669521886
  Medicare reassignment Authorized official
• Optical Illusions, PC

  dba Vision Source Partners

  • Optometrist
  • Saint Marys, GA
  • NPI 1346390895
  NPD Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1003875386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VILLAGE AT GLYNN PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251993",
            "telephone_number": "912-264-6000",
            "fax_number": "912-264-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VILLAGE AT GLYNN PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251993",
            "telephone_number": "912-264-6000",
            "fax_number": "912-264-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHLI",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954291A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954291B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brunswick Urgent Care, LLC
• Justin Andrew Bryan, DPT
• Elena V Bryant, MD
• Olga J Bryant, SLP004314
• Nicholas Buchanan, MD
• Shontae R Buffington, MD
• Build and Restore, LLC (BAR Health)
• Mulugeta Teka Bulti
• Oana Radu Bulugean, M.D.
• Iris Heather Burandt, FNP

• Optometrist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.