Channing F Bucklew, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

998 Issued in MS

Practice address

14994 W Main St
Louisville, MS 39339-2616

Phone

(662) 773-3494

NPI assigned

Aug 5, 2019

Last updated

May 24, 2022By 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

Medicare fee-for-service enrollment

Enrolled in MS

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

University Alabama Birmingham - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbucklew@mseyecare.eyefinity-direct.com

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.

• Ms Eye Care PA

  dba Meridian Eye Care

  • Optometrist
  • Meridian, MS
  • NPI 1639530454
  Medicare reassignment Care Compare group NPD
• Ms Eye Care, PA

  dba Mississippi Eye Care Eupora

  • Optometrist
  • Eupora, MS
  • NPI 1356238943
  NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1699320929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-446-9000",
            "fax_number": "662-779-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-773-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MS",
            "postal_code": "393412275",
            "country_code": "US",
            "telephone_number": "662-726-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "CHANNING",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarshi L Bolton, MS
• Mikella Bond
• Jalesa Bowen, MA
• Katie M Boydstun, DPT
• Anna Claire Bucklew, PT
• Jennifer Marie Burns, PT
• Erin Burton, FNP
• Adam C Byrd, M.D.
• Carmen Byrd
• Care Center of Louisville, LTD.

• Optometrist in Louisville, MS
• Providers in Louisville, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.