Active NPI
Jay Matthew Butler, O.D.
- Optometrist
- Buckley Afb, CO
National Provider Identifier
1396900536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2984
- Practice address
- 460TH Medical Group
275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562 - Phone
- (720) 847-6092
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2984 | TN | Primary |
Addresses
Primary practice location
460TH Medical Group
275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562
Mailing address
374TH Medical Group/Optometry
Yokota Air Base, Japan
Apo, AP 96328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1396900536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "374TH MEDICAL GROUP/OPTOMETRY",
"address_2": "YOKOTA AIR BASE, JAPAN",
"city": "APO",
"state": "AP",
"postal_code": "96328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460TH MEDICAL GROUP",
"address_2": "275 S ASPEN ST STOP 89",
"city": "BUCKLEY AFB",
"state": "CO",
"postal_code": "800119562",
"telephone_number": "720-847-6092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JAY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckley Afb, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.