Patricia A Butler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG1584 Issued in PA

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

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

Samuel Ganz MD PLLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Samuel Ganz MD PLLC

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1376377010

  PA

  Medicare reassignment Care Compare group NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7033765",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Busch, LCSW
• Emily Bush, PA-C
• Gretchen M Bush, RPH
• Emily Bushee
• Michelle Jeanne Butcher
• Allison Butterfield, ATC, LAT
• Marcella Gorski Buzanowicz, CRNPC
• Diana Maria Byk, PHARMD
• Richard Edmund Byrne, MD
• Jessica Byrski, LSW

• All providers in Wilkes Barre, PA
• Optometrist in Pennsylvania

• 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.

Verify at the official NPI Registry.