Individual provider Active NPI

David Michael Buck, O.D.

  • Optometrist
  • Yorktown, VA
National Provider Identifier
1245594407
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002155 Issued in VA
Practice address
1215 George Washington Mem Hwy Ste V
Suite V
Yorktown, VA 23693-4316
Phone
(757) 596-5666
Fax
(757) 596-9755
NPI assigned
Jul 2, 2012
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002155 VA Primary

Addresses

Primary practice location

1215 George Washington Mem Hwy Ste V
Suite V
Yorktown, VA 23693-4316

Mailing address

1215 George Washington Mem Hwy Ste V
Suite V
Yorktown, VA 23693-4316
Phone (757) 978-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120925000333 VA Practitioner - Optometry 1557510146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Peninsula Eye Care, LLCGroup PAC ID 7911284377, 3 clinicians

Practice addresses (Care Compare)

1215 George Washington Mem Hwy
Suite V
Yorktown, VA 23693-4316
Phone (757) 978-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002155VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Waldron Optometrist Past Accepting new patients
N2 Eyes Comprehensive Optometry Inc Optometrist PastSince Jan 2, 2004 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1245594407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
            "address_2": "SUITE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-978-2020",
            "fax_number": "757-596-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
            "address_2": "SUITE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.