Brian W Buell Eye Care PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PC-055 Issued in AR

Legal business name

BRIAN W BUELL EYE CARE PA

Practice address

4083 N Shiloh Dr
Suite One
Fayetteville, AR 72703-5300

Phone

(479) 521-7774

Fax

(479) 521-4928

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Brian Buell, O.P.NPI 1043355506

Title

President

Phone

(479) 521-7774

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Brian W. Buell, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1043355506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1356614556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 N SHILOH DR",
            "address_2": "SUITE ONE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035300",
            "telephone_number": "479-521-7774",
            "fax_number": "479-521-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 N SHILOH DR",
            "address_2": "SUITE ONE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035300",
            "telephone_number": "479-521-7774",
            "fax_number": "479-521-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W BUELL EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-521-7774",
        "authorized_official_credential": "O.P."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AR",
            "license": "PC-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106357722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexus Brettell
• Lukas Brettin, PTA
• Ashlea Veronica Brewer, NP
• Icem E Brewer, O.D.
• Samantha Breyfogle, LPC, LMFT
• Stewart Bridger, PD
• Bridges Therapy Group, PLLC
• Ana Julia Bridges, PHD
• Caroline Elizabeth Bridges
• Briggs Vision Clinic

• Exclusive Provider Organization in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Exclusive Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.