Individual provider Active NPI

James K Butner, O.D.

  • Optometrist
  • Vinita, OK
National Provider Identifier
1376523639
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
972 Issued in OK
Practice address
529 N Wilson St
Vinita, OK 74301-2428
Phone
(918) 256-5543
Fax
(918) 256-6118
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 972 OK Primary

Addresses

Primary practice location

529 N Wilson St
Vinita, OK 74301-2428

Mailing address

PO Box 926
Vinita, OK 74301-0926
Phone (918) 256-5543

Other identifiers 1

IdentifierTypeStateIssuer
100762650AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DIRECT@FAMILYEYECAREVINITAOK.COMPULINKDIRECT.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20071019000441 OK Practitioner - Optometry 7618063751 Reassigns benefits to 1 organization
Practice locations: Vinita, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vinita Family Eyecare, PLLCGroup PAC ID 8325497696, 2 clinicians

Practice addresses (Care Compare)

529 N Wilson St
Vinita, OK 74301-2428
Phone (918) 373-2167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
972OKMDLong Term Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Vinita Family Eyecare, PLLC Optometrist CurrentSince May 1, 2024 Accepting new patients

Locations

529 N Wilson St
Vinita, OK 74301
Phone (918) 256-5543

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1376523639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010926",
            "telephone_number": "918-256-5543",
            "fax_number": "918-256-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012428",
            "telephone_number": "918-256-5543",
            "fax_number": "918-256-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTNER",
        "first_name": "JAMES",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762650A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DIRECT@FAMILYEYECAREVINITAOK.COMPULINKDIRECT.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "529 N Wilson St",
            "city": "Vinita",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743012428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

Verify at the official NPI Registry.