Active NPI
Michael A Buzbee, OD
- Optometrist
- Odessa, TX
National Provider Identifier
1649280405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03017TG
- Practice address
- 2102 N Grandview Ave
Odessa, TX 79761-1603 - Phone
- (432) 367-5600
- Fax
- (432) 368-9817
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 03017TG | TX | Primary |
Addresses
Primary practice location
2102 N Grandview Ave
Odessa, TX 79761-1603
Mailing address
2102 N Grandview Ave
Odessa, TX 79761-1603
Phone (432) 367-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080723000319 | TX | Practitioner - Optometry | 9830262930 | Practice locations: Odessa, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2102 N Grandview Ave
Odessa, TX 79761-1603
Phone (432) 367-5600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017 | TX | MD | Podiatrist |
Organizations & group practices 1
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": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1649280405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797611603",
"telephone_number": "432-367-5600",
"fax_number": "432-368-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797611603",
"telephone_number": "432-367-5600",
"fax_number": "432-368-9817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZBEE",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "03017TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.