Individual provider Active NPI

Robert D Butterwick, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1174630024
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1472 Issued in GA
Practice address
2625 Piedmont Rd NE
Suite 36G
Atlanta, GA 30324-3086
Phone
(404) 233-3513
Fax
(404) 814-0184
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1472 GA Primary

Addresses

Primary practice location

2625 Piedmont Rd NE
Suite 36G
Atlanta, GA 30324-3086

Mailing address

2625 Piedmont Rd NE
Suite 36G
Atlanta, GA 30324-3086
Phone (404) 233-3513

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110113000260 GA Practitioner - Optometry 5799862363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ross Eyecare Group, P.C.Group PAC ID 4385721943, 5 clinicians

Practice addresses (Care Compare)

2625 Piedmont Rd NE
Suite 36
Atlanta, GA 30324-3012
Phone (404) 233-3513

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1472GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Eyecare Group, P.C. Optometrist CurrentSince Oct 27, 1998 Accepting new patients

Locations

2625 Piedmont Rd NE
Atlanta, GA 30324
Phone (404) 233-3513

2625 Piedmont Rd NE
Ste G36
Atlanta, GA 30324
Phone (404) 233-3513

2625 Piedmont Rd NE
Ste 36G
Atlanta, GA 30324
Phone (404) 233-3513

2625 Piedmont Rd NE
Ste 36
Atlanta, GA 30324
Phone (404) 233-3513

Organizations & group practices 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1174630024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 36G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "404-233-3513",
            "fax_number": "404-814-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 36G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "404-233-3513",
            "fax_number": "404-814-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERWICK",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.