Active NPI
Kristen Marie Buskirk, O.D.
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010939
- Practice address
- 3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878 - Phone
- (312) 225-6200
- Fax
- (312) 949-7617
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010939 | IL | Primary |
| Optometrist | 152W00000X | 2016042251 | MO |
Addresses
Primary practice location
3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878
Mailing address
15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393
Other practice location 1
7 N Euclid Ave
Saint Louis, MO 63108-1445
Phone (314) 884-2382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3241 S Michigan Ave
Chicago, IL 60616-3878
Phone (312) 949-7751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois College of Optometry | Optometrist | Current | Accepting new patients |
Locations
3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200
3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200
Interoperability endpoints
- kristen.buskirk.iei@direct.ico.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kristenbuskirk@direct.eyecare-partners.com
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 and National Provider Directory roles.
-
- Optometrist
- Chicago, IL
- NPI 1285612390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1720494412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD",
"address_2": "SUITE 201",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163878",
"telephone_number": "312-225-6200",
"fax_number": "312-949-7617"
}
],
"practiceLocations": [
{
"address_1": "7 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631081445",
"country_code": "US",
"telephone_number": "314-884-2382",
"fax_number": "314-884-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSKIRK",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2024-07-11",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010939",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2016042251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.