Individual provider Active NPI

Angela Nicole Buchanan, O.D.

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1821250580
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003522A Issued in IN
Practice address
1351 Veterans Pkwy
Clarksville, IN 47129-7747
Phone
(812) 320-5406
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003522A IN Primary

Addresses

Primary practice location

1351 Veterans Pkwy
Clarksville, IN 47129-7747

Mailing address

1758 Anthony Dr
Columbus, IN 47201-8129
Phone (181) 232-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091030000107 IN Practitioner - Optometry 0840337499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

279 N Gardner St
2 Vision First
Scottsburg, IN 47170-1322
Phone (812) 752-5106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003522AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince May 1, 2024 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince May 1, 2024 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

4326 Charlestown Rd
#2
New Albany, IN 47150
Phone (812) 945-0023

4326 Charlestown Rd
Ste 2
New Albany, IN 47150

600 S Main St
Salem, IN 47167
Phone (812) 883-2700

279 N Gardner St
Ste 1
Scottsburg, IN 47170
Phone (812) 752-5106

279 N Gardner St
Ste 2
Scottsburg, IN 47170
Phone (812) 752-5106

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

Organizations & group practices 4

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1821250580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 ANTHONY DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018129",
            "telephone_number": "181-232-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 VETERANS PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471297747",
            "telephone_number": "812-320-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003522A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.