Individual provider Active NPI

Michelle L. Buttlar, OD

  • Optometrist
  • Schertz, TX
National Provider Identifier
1699905067
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7207T Issued in TX
Practice address
17323 Ih 35 N
Suite 110
Schertz, TX 78154-1277
Phone
(210) 651-5800
Fax
(210) 651-9733
NPI assigned
Jul 20, 2009
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7207T TX Primary

Addresses

Primary practice location

17323 Ih 35 N
Suite 110
Schertz, TX 78154-1277

Mailing address

17323 Ih 35 N
Suite 110
Schertz, TX 78154-1277
Phone (210) 651-5800

Other identifiers 1

IdentifierTypeStateIssuer
7207TOtherTXOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110509000559 TX Practitioner - Optometry 0345426367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Buttlar OD PCGroup PAC ID 5698758795, 3 clinicians

Practice addresses (Care Compare)

17323 Ih 35
Suite 110
Schertz, TX 78154-1278
Phone (210) 651-5800

17323 Ih 35 N
Suite 110
Schertz, TX 78154-1278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7207TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Buttlar, OD, PC Optometrist CurrentSince Jan 2, 2011 Accepting new patients

Locations

17323 Interstate 35 N
Ste 110
Schertz, TX 78154
Phone (210) 651-5800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1699905067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "address_2": "SUITE 110",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541277",
            "telephone_number": "210-651-5800",
            "fax_number": "210-651-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "address_2": "SUITE 110",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541277",
            "telephone_number": "210-651-5800",
            "fax_number": "210-651-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTLAR",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7207T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "7207T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.