Brett Michael Buckley, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

3273-35 Issued in WI

Practice address

4800 Golf Rd Ste 127
Eau Claire, WI 54701-9049

Phone

(715) 834-8404

NPI assigned

Jun 21, 2012

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winona Health Services Hospital, Winona, MN, CCN 240044

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.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Medicare reassignment Care Compare group NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Shorewood, WI
  • NPI 1154699445
  Medicare reassignment NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Austin, MN
  • NPI 1881962173
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Winona Health Services

  dba Winona Health Services - Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MN
  • NPI 1447334602
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1659634848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 FENWICK AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014418",
            "telephone_number": "715-579-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 GOLF RD STE 127",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019049",
            "telephone_number": "715-834-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Apache Mall",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559022109",
            "country_code": "US",
            "telephone_number": "507-252-1540",
            "fax_number": "507-252-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "BRETT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3549",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3273-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janessa K Bublitz, LAT
• Coy Buchanan
• Nicole M Bucheger
• Michelle Buchholz, PTA
• Benjamin John Buchl, FNP
• Vicky Buhr
• Brett Bullock
• Allison L Bunkelman, LPC
• Andrea Burch, PHARMD, RPH
• Kristi Margaret Burdick, DNP, FNP-BC

• Optometrist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.