Donald P Wright & a Peter Bukeavich PTRS

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OD 509 T Issued in TN

Legal business name

DONALD P WRIGHT & A PETER BUKEAVICH PTRS

Practice address

145 Kennedy Dr Ste a
Martin, TN 38237-3341

Phone

(731) 587-2020

Fax

(731) 587-4015

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Killebrew

Title

Insurance Specialist

Phone

(731) 587-2020

Specialties & licenses 2

Addresses

Other names 1

• WRIGHT & BUKEAVICH O D Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald P Wright, O.D.

  • Optometrist
  • Martin, TN
  • NPI 1760416036
  Medicare reassignment NPD

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1629209283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR STE A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373341",
            "telephone_number": "731-587-2020",
            "fax_number": "731-587-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KENNEDY DR STE A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373341",
            "telephone_number": "731-587-2020",
            "fax_number": "731-587-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD P WRIGHT & A PETER BUKEAVICH PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "KILLEBREW",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "731-587-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "OD 509 T",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "OD 1138 T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRIGHT & BUKEAVICH O D",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WRIGHT & BUKEAVICH O D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Martin, TN
• Providers in Martin, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.