Individual provider Active NPI

Christine Speer Buono, MD

  • Ophthalmology Physician
  • Titusville, FL
National Provider Identifier
1245263516
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0161997 Issued in FL
Practice address
1832 Garden St
Titusville, FL 32796-3200
Phone
(321) 267-0008
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0161997 FL Primary

Addresses

Primary practice location

1832 Garden St
Titusville, FL 32796-3200

Mailing address

7102 Mercado LN
Melbourne, FL 32940-7646
Phone (631) 942-6393

Other names 1

  • Christine Elise Speer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517003601 FL Practitioner - Ophthalmology 9436157385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Space Coast Ophthalmology LLCGroup PAC ID 4688950611, 4 clinicians

Practice addresses (Care Compare)

1832 Garden St
Titusville, FL 32796-3200
Phone (321) 267-0008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0161997FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Southold Medical and Surgical Eye Care PC Ophthalmology Past Accepting new patients
Peconic Ophthalmology,PLLC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCIAD/Endpoint/IHCIAD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1245263516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 MERCADO LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407646",
            "telephone_number": "631-942-6393",
            "fax_number": "727-268-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963200",
            "telephone_number": "321-267-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "CHRISTINE",
        "middle_name": "SPEER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0161997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SPEER",
            "middle_name": "ELISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.