Kathleen Erin Buffington, O.D.
Individual provider Active NPI Optometrist · Woodruff, WI
NPI 1568535722 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1568535722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2768-035 (WI)
- Practice address
- 706 Elm St.
Woodruff, WI 54568-0740 - Phone
- (715) 358-4060
- Fax
- (715) 358-2561
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20060213000671 | WI | Practitioner - Optometry | 2062427099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffington Optometry LLC | Optometrist | Current |
Accepting new patients |
| Shopko Stores Operating Co LLC | Past | Accepting new patients |
Locations
311 Financial Way
Ste 210
Wausau, WI 54401
Phone (715) 845-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2768-035 | WI | Yes |
Addresses
Primary practice location
706 Elm St.
Woodruff, WI 54568-0740
Mailing address
PO Box 740
Woodruff, WI 54568-0740
Phone (715) 358-4060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38615300 | Medicaid | WI |
Other providers in Woodruff, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.