Martha Patricia Buckley, O.D.
Individual provider Active NPI Optometrist · Porter Ranch, CA
NPI 1376844993 · NPPES record last updated Nov 12, 2010
Key facts
- NPI
- 1376844993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 11560T (CA)
- Practice address
- 19648 Crystal Ridge LN
Porter Ranch, CA 91326-3875 - Phone
- (310) 990-2356
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Golden State Eye Medical Group Inc
Mission City Community Network, Inc.
Practice addresses (Care Compare)
6000 Physicians Blvd
Suite 205
Bakersfield, CA 93301-1215
Phone (661) 327-4499
8527 Sepulveda Blvd
North Hills, CA 91343-5824
Phone (818) 895-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120710000605 | CA | Practitioner - Optometry | 5395900781 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11560T | CA | MD | Optometrist |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Clearview Eyecare Optometry a Professional Corporation | Optometrist | Current |
Accepting new patients |
| Mission City Community Network, Inc. | Current |
Accepting new patients | |
| Paul P Nazemi MD Inc | Current |
Accepting new patients | |
| Golden State Eye Medical Group Inc | Optometrist | Current |
Accepting new patients |
| Heritage Valley Eye Care Optometric Center | Optometrist | Past | Accepting new patients |
| Heritage Valley Eye Care Optometric Center | Optometrist | Past | Accepting new patients |
| Scripps Health | Past | Accepting new patients |
Locations
6000 Physicians Blvd
Bldg D
Bakersfield, CA 93301
Phone (661) 327-4499
6000 Physicians Blvd
Ste 205
Bakersfield, CA 93301
Phone (661) 327-4499
6000 Physicians Blvd
Bakersfield, CA 93301
Phone (661) 322-4744
43767 15th St W
Lancaster, CA 93534
Phone (661) 945-9883
7447 N Figueroa St
Ste 200
Los Angeles, CA 90041
Phone (323) 256-3937
8527 Sepulveda Blvd
North Hills, CA 91343
Phone (310) 926-4865
15206 Parthenia St
Sepulveda, CA 91343
2820 Townsgate Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 367-8219
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11560T | CA | Yes |
Addresses
Primary practice location
19648 Crystal Ridge LN
Porter Ranch, CA 91326-3875
Mailing address
19648 Crystal Ridge LN
Porter Ranch, CA 91326-3875
Phone (310) 990-2356
Other providers in Porter Ranch, CA
- Sheri M Boyd
- Gwyneth Funan Boyer
- Jennifer Anne Boyke
- Sesil Bozukian
- Elona Brando
- Bung Joo Choi Physician Assistant PC
- Ivan Enzo Cabrera
- Brigitte Anne Caille
- Asumption J Camacho
- Ari Canlian
All providers in Porter Ranch, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.