Active NPI
Tasso S Butler Jr., OD
- Optometrist
- Lewisburg, WV
National Provider Identifier
1205888757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 658OD
- Practice address
- 413 Greenbrier Vally Mall Dr
Suite 2
Lewisburg, WV 24901-1794 - Phone
- (304) 645-2799
- Fax
- (304) 647-3962
- NPI assigned
- May 16, 2006
- Last updated
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601000803 | VA | |
| Optometrist | 152W00000X | 658OD | WV | Primary |
Addresses
Primary practice location
413 Greenbrier Vally Mall Dr
Suite 2
Lewisburg, WV 24901-1794
Mailing address
US RT 219
Greenbrier Valley Mall
Lewisburg, WV 24901
Phone (304) 645-2799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
413 Greenbrier Valley Mall Dr
Suite 2
Lewisburg, WV 24901-0237
Phone (304) 645-2799
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601000803 | VA | MD | Optometrist |
| 658OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishna Sankar M.D., P.C. | Current | Accepting new patients | |
| Krishna Sankar M.D.,P.C. | Optometrist | Current | Accepting new patients |
| Gregory C Mays M.D., P.L.C. | Past | Accepting new patients |
Locations
201 Interstate Dr
Covington, VA 24426
Phone (540) 962-4621
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Covington, VA
- NPI 1245309863
-
- Eyewear Supplier
- Covington, VA
- NPI 1043305717
-
- Specialist
- Covington, VA
- NPI 1649537440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1205888757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US RT 219",
"address_2": "GREENBRIER VALLEY MALL",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "24901",
"telephone_number": "304-645-2799",
"fax_number": "304-647-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 GREENBRIER VALLY MALL DR",
"address_2": "SUITE 2",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011794",
"telephone_number": "304-645-2799",
"fax_number": "304-647-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "TASSO",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601000803",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "658OD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.