Individual provider Active NPI

Dale R. Buettner, O.D.

  • Optometrist
  • Franklin, WI
National Provider Identifier
1194737924
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2872-035 Issued in WI
Practice address
8225 S 27TH St
Franklin, WI 53132-9310
Phone
(414) 761-2269
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2872-035 WI Primary

Addresses

Primary practice location

8225 S 27TH St
Franklin, WI 53132-9310

Mailing address

16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005

Other identifiers 1

IdentifierTypeStateIssuer
WI2872OtherEYEMED VISION NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050822001279 WI Practitioner - Optometry 0143251991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physician Associates SCGroup PAC ID 9931171402, 8 clinicians

Practice addresses (Care Compare)

1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3397
Phone (414) 928-2020

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7373

4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020

8375 S Howell Ave
Suite 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
83.61
Improvement activities
40
Cost
70.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2872-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physician Associates, S.C. Optometrist CurrentSince Feb 1, 2016 Accepting new patients
Eye Physician Associates, S.C. Optometrist CurrentSince Feb 1, 2016 Accepting new patients
Dr K F Nassif & Associates SC PastSince Mar 7, 1997 Accepting new patients

Locations

1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828

2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215
Phone (414) 385-1277

4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789

8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

10625 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-6880

Interoperability endpoints

  • Direct secure messaging: daleb@epasc1966.srs-direct.com

Organizations & group practices 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1194737924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329310",
            "telephone_number": "414-761-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "DALE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2872-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION NO.",
            "identifier": "WI2872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.