Stephen Gregory Buck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

591 Issued in SC

Practice address

1283 Broad St
Sumter, SC 29150-1973

Phone

(803) 920-2763

Fax

(803) 905-8065

NPI assigned

Aug 7, 2006

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

Southern College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergelt Optometric LLCGroup PAC ID 5092007666, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bergelt Optometric LLC

  • Optometrist
  • Florence, SC
  • NPI 1386002467
  Medicare reassignment Care Compare group NPD
• Doctors Eye Center, PA

  • Optometrist
  • Sumter, SC
  • NPI 1518105980
  NPD Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1649289539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LIMEHOUSE REACH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104402",
            "telephone_number": "803-920-2763",
            "fax_number": "803-905-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501973",
            "telephone_number": "803-920-2763",
            "fax_number": "803-905-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "STEPHEN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "P00308477",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05910",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassidy M Bruey, DPT, PT
• Diana M Brunson, LMT
• Monica Brewer Brunson, OTR/L
• Candice Patrice Bryant, BSN,RN
• Tia D. Buchanan, DMIN., LCCC, NCC, LP
• Leanne Sheedy Buckner, M.ED., LPC
• Zachary Tyler Buckner, BSN-RN
• Roxana Buda, DPT
• Temisha H Budden, PA
• Megan Leigh Buddin, PTA

• Optometrist in Sumter, SC
• Providers in Sumter, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.

Verify at the official NPI Registry.