Individual provider Active NPI

Douglas Arthur Buehler, O.D.

  • Optometrist
  • Pigeon, MI
National Provider Identifier
1679618946
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002529 Issued in MI
Practice address
7484 W Michigan Ave
Pigeon, MI 48755-5200
Phone
(989) 453-2506
Fax
(989) 453-2166
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002529 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

7484 W Michigan Ave
Pigeon, MI 48755-5200

Mailing address

7484 W Michigan Ave
Pigeon, MI 48755-5200
Phone (989) 453-2506

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0C26506OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
943483401MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2012.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1679618946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7484 W MICHIGAN AVE",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487555200",
            "telephone_number": "989-453-2506",
            "fax_number": "989-453-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7484 W MICHIGAN AVE",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487555200",
            "telephone_number": "989-453-2506",
            "fax_number": "989-453-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHLER",
        "first_name": "DOUGLAS",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0C26506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943483401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pigeon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.