Individual provider Active NPI

Michael A Buzbee, OD

  • Optometrist
  • Odessa, TX
National Provider Identifier
1649280405
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03017TG Issued in TX
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

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0593520001OtherTXDMERC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery42

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

Verify at the official NPI Registry.