Organization Active NPI

Michael a Buzbee

  • Optometrist
  • Odessa, TX
National Provider Identifier
1114188158
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL A BUZBEE
Practice address
2102 N Grandview Ave
Odessa, TX 79761-1603
Phone
(432) 367-5600
Fax
(432) 368-9817
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Michael A Buzbee, OD
Title
Owner/Optometrist
Phone
(432) 367-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

2102 N Grandview Ave
Odessa, TX 79761-1603

Mailing address

2102 N Grandview Ave
Odessa, TX 79761-1603
Phone (432) 367-5600

Other names 1

  • Grandview Eye Doing business as

National Provider Directory

National Provider Directory

Locations

2102 N Grandview Ave
Odessa, TX 79761
Phone (432) 367-5600

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1114188158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611603",
            "telephone_number": "432-367-5600",
            "fax_number": "432-368-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611603",
            "telephone_number": "432-367-5600",
            "fax_number": "432-368-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BUZBEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BUZBEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "432-367-5600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.