Organization Active NPI

Doctor Butler Eyecare, LLC

  • Optometrist
  • Wilkes Barre, PA
National Provider Identifier
1215940630
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG1584 Issued in PA
Legal business name
DOCTOR BUTLER EYECARE, LLC
Practice address
34 S Main St
Suite 5
Wilkes Barre, PA 18701-1723
Phone
(570) 822-9727
Fax
(570) 822-8743
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Patricia A Butler, O.D.
Title
Owner
Phone
(570) 852-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG1584 PA Primary

Addresses

Primary practice location

34 S Main St
Suite 5
Wilkes Barre, PA 18701-1723

Mailing address

34 S Main St
Suite 5
Wilkes Barre, PA 18701-1723
Phone (570) 822-9727

National Provider Directory

National Provider Directory

Locations

649 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2994

34 S Main St
Ste 5
Wilkes Barre, PA 18701
Phone (570) 822-8727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1215940630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011723",
            "telephone_number": "570-822-9727",
            "fax_number": "570-822-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011723",
            "telephone_number": "570-822-9727",
            "fax_number": "570-822-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR BUTLER EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-852-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.