Individual provider Active NPI

Richard Buck, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1548295983
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD610 Issued in TN
Practice address
3499 Riverdale Rd
Memphis, TN 38115-4400
Phone
(901) 363-7739
Fax
(901) 363-7665
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD610 TN Primary

Addresses

Primary practice location

3499 Riverdale Rd
Memphis, TN 38115-4400

Mailing address

3499 Riverdale Rd
Memphis, TN 38115-4400
Phone (901) 363-7739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090713000656 TN Practitioner - Optometry 0840342481 Reassigns benefits to 1 organization
I20221028001788 MS Practitioner - Optometry 0840342481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Richard C. Buck OD., PCGroup PAC ID 8921150566, 8 clinicians

Practice addresses (Care Compare)

338 Goodman Rd W
Southaven, MS 38671-9409
Phone (662) 510-7397

5218 Goodman Rd
Suite 113
Olive Branch, MS 38654-7985
Phone (662) 269-6305

7706 Winchester Rd
Suite 105
Memphis, TN 38125-2399
Phone (901) 752-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD610TNMDOptometrist
610TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard C. Buck OD PC Optometrist CurrentSince Jul 5, 2017 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

5218 Goodman Rd
Ste 113
Olive Branch, MS 38654
Phone (662) 269-6305

338 Goodman Rd W
Ste B
Southaven, MS 38671

338 Goodman Rd W
Southaven, MS 38671
Phone (662) 349-1139

3499 Riverdale Rd
Memphis, TN 38115
Phone (901) 363-7089

4562 Poplar Ave
Ste 115
Memphis, TN 38117
Phone (901) 683-1689

2825 N Germantown Pkwy
Ste 103
Memphis, TN 38133
Phone (901) 381-1522

7706 Winchester Rd
Memphis, TN 38125
Phone (901) 752-1551

7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1548295983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154400",
            "telephone_number": "901-363-7739",
            "fax_number": "901-363-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154400",
            "telephone_number": "901-363-7739",
            "fax_number": "901-363-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "RICHARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.