Active NPI
Wiilard Earl Buchanan, OD
- Optometrist
- PT Orchard, WA
National Provider Identifier
1699763219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001118
- Practice address
- 1135 Bethel Ave
PT Orchard, WA 98366-3125 - Phone
- (360) 895-2020
- Fax
- (360) 874-0048
- NPI assigned
- Oct 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001118 | WA | Primary |
Addresses
Primary practice location
1135 Bethel Ave
PT Orchard, WA 98366-3125
Mailing address
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370-6525
Phone (360) 779-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023539 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001118 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699763219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20669 BOND RD NE",
"address_2": "STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706525",
"telephone_number": "360-779-2020",
"fax_number": "360-779-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 BETHEL AVE",
"city": "PT ORCHARD",
"state": "WA",
"postal_code": "983663125",
"telephone_number": "360-895-2020",
"fax_number": "360-874-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "WIILARD",
"middle_name": "EARL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023539",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in PT Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.