Active NPI
Patricia A Butler, O.D.
- Optometrist
- Wilkes Barre, PA
National Provider Identifier
1760434294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG1584
- Practice address
- 34 S Main St
Suite 5
Wilkes Barre, PA 18701-1723 - Phone
- (570) 822-8727
- Fax
- (570) 822-8743
- NPI assigned
- May 16, 2006
- Last updated
- May 4, 2017
- Sex
- Female
- 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 | OEG1584 | PA | Primary |
Addresses
Primary practice location
34 S Main St
Suite 5
Wilkes Barre, PA 18701-1723
Mailing address
34 S. Main Street
Wilkes-Barre, PA 18701-1723
Phone (570) 822-8727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- State University of New York - State College Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Hospital St
Taylor, PA 18517-2012
Phone (570) 562-2102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG1584 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Ganz MD PLLC | Current | Accepting new patients |
Locations
500 W Hospital St
Taylor, PA 18517
Phone (570) 483-8450
Organizations & group practices 2
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.
-
- Optometrist
- Wilkes Barre, PA
- NPI 1215940630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1760434294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 S. MAIN STREET",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "187011723",
"telephone_number": "570-822-8727",
"fax_number": "570-822-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 S MAIN ST",
"address_2": "SUITE 5",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011723",
"telephone_number": "570-822-8727",
"fax_number": "570-822-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG1584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.