Individual provider Active NPI

Kathleen Erin Buffington, O.D.

  • Optometrist
  • Woodruff, WI
National Provider Identifier
1568535722
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2768-035 Issued in WI
Practice address
706 Elm St.
Woodruff, WI 54568-0740
Phone
(715) 358-4060
Fax
(715) 358-2561
NPI assigned
Nov 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 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 2768-035 WI Primary

Addresses

Primary practice location

706 Elm St.
Woodruff, WI 54568-0740

Mailing address

PO Box 740
Woodruff, WI 54568-0740
Phone (715) 358-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060213000671 WI Practitioner - Optometry 2062427099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

706 Elm St
Woodruff, WI 54568-9172
Phone (715) 358-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buffington Optometry LLC Optometrist CurrentSince Nov 15, 2001 Accepting new patients
Tomahawk Eye Care Inc Past Accepting new patients
Marshfield Clinic Inc Past Accepting new patients

Locations

311 Financial Way
Ste 210
Wausau, WI 54401
Phone (715) 845-6600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568535722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680740",
            "telephone_number": "715-358-4060",
            "fax_number": "715-358-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ELM ST.",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680740",
            "telephone_number": "715-358-4060",
            "fax_number": "715-358-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "KATHLEEN",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2768-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

Verify at the official NPI Registry.