Active NPI
Dale R. Buettner, O.D.
- Optometrist
- Franklin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2872-035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI2872 | Other | EYEMED 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
Enrollment records 1
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
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 100
- Quality
- 83.61
- Improvement activities
- 40
- Cost
- 70.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2872-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physician Associates, S.C. | Optometrist | Current | Accepting new patients |
| Eye Physician Associates, S.C. | Optometrist | Current | Accepting new patients |
| Dr K F Nassif & Associates SC | Past | 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
- 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.
-
- Ophthalmology Physician
- Wauwatosa, WI
- NPI 1881677284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.