William J Buckingham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002686 Issued in MI

Practice address

904 N Wisner St
Jackson, MI 49202-3144

Phone

(517) 782-9388

Fax

(517) 782-9018

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: direct@gregoryopticaljacksonmi.compulinkdirect.com

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.

• Clyson P.C.

  • Corneal and Contact Management Optometrist
  • Jackson, MI
  • NPI 1447422126
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1366437675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N WISNER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023144",
            "telephone_number": "517-782-9388",
            "fax_number": "517-782-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N WISNER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023144",
            "telephone_number": "517-782-9388",
            "fax_number": "517-782-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900C810950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD",
            "identifier": "P00180124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF SO MICHIGAN",
            "identifier": "22-20017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Michael Bryan, BEHAVIOR TECH
• Meaghan Suzanne Bryant, LLMSW
• Noah Daniel Bryant, N/A
• Richard Daniel Bryant
• Dawn Buchbinder, LMSW
• Alyssa Budd
• Bobbie Budd
• Matthew Keith Budd, MSN, RN, AGCNS-BC
• Tammy Buehrer, LMT
• Katherine Buhl, MD

• All providers in Jackson, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.