Individual provider Active NPI

Jaclyn Suzanne Buehner, O.D.

  • Optometrist
  • Grove City, OH
National Provider Identifier
1740464734
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5703 Issued in OH
Practice address
3959 Hoover Rd
Grove City, OH 43123-2839
Phone
(614) 875-8373
Fax
(614) 875-0974
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5703 OH Primary

Addresses

Primary practice location

3959 Hoover Rd
Grove City, OH 43123-2839

Mailing address

3959 Hoover Rd
Grove City, OH 43123-2839
Phone (614) 875-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150314000381 SC Practitioner - Optometry 9335466127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 N Hwy 52
Moncks Corner, SC 29492
Phone (843) 899-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5703OHMDOptometrist
1475SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaclyn Buehner, O.D., Inc. Optometrist CurrentSince Sep 1, 2014 Accepting new patients

Locations

511 N Highway 52
Moncks Corner, SC 29461
Phone (843) 482-0028

4900 Centre Pointe Dr
North Charleston, SC 29418
Phone (843) 529-9791

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1740464734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232839",
            "telephone_number": "614-875-8373",
            "fax_number": "614-875-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232839",
            "telephone_number": "614-875-8373",
            "fax_number": "614-875-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHNER",
        "first_name": "JACLYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.