Individual provider Active NPI

David Hunter Buterbaugh

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1124691092
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2675 Issued in NC
Practice address
3501 Oleander Dr Ste 7
Wilmington, NC 28403-0824
Phone
(910) 254-9292
Fax
(910) 254-9294
NPI assigned
Jul 20, 2021
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2675 NC Primary

Addresses

Primary practice location

3501 Oleander Dr Ste 7
Wilmington, NC 28403-0824

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hunter.buterbaugh@myeyedr.com MyEyeDr Optometry of Virginia, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220407001402 NC Practitioner - Optometry 4284038951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Racine Dr
Wilmington, NC 28403-8702
Phone (910) 395-6050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Mar 20, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Mar 20, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist PastSince Mar 20, 2022 Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1031 Grandiflora Dr
Leland, NC 28451
Phone (910) 371-0540

5615 S NC 41 Hwy
Ste 300
Wallace, NC 28466
Phone (910) 285-5050

201 Racine Dr
Wilmington, NC 28403
Phone (910) 395-6050

3501 Oleander Dr
Ste 7
Wilmington, NC 28403
Phone (910) 254-9292

5619 Carolina Beach Rd
Ste 110
Wilmington, NC 28412
Phone (910) 790-0212

6825 Parker Farm Dr
Wilmington, NC 28405
Phone (910) 452-0554

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1124691092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 OLEANDER DR STE 7",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030824",
            "telephone_number": "910-254-9292",
            "fax_number": "910-254-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERBAUGH",
        "first_name": "DAVID",
        "middle_name": "HUNTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hunter.buterbaugh@myeyedr.com",
            "affiliation": "Y",
            "affiliationName": "MyEyeDr Optometry of Virginia, PLLC",
            "address_1": "4655 Monticello Ave Ste 201",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231888221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.