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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0593520001 | Other | TX | DMERC |
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
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0593520001",
"state": "TX"
}
],
"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.