Mary Ann Button, OD
Individual provider Active NPI Optometrist · Lakeview, OR
NPI 1851362453 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1851362453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2599ATI (OR)
- Practice address
- 628 N 1St St
Ste C
Lakeview, OR 97630-1506 - Phone
- (541) 947-3357
- Fax
- (541) 947-3368
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT11282TPA | CA | MD | Optometrist |
| 2599ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Group, PC. | Optometrist | Past |
Accepting new patients |
| Jason Bates OD PC | Optometrist | Past | Accepting new patients |
| Shasta Eyecare Associates, LLC | Optometrist | Past | Accepting new patients |
| Shajida Espat Reich & Associates PC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2599ATI | OR | Yes |
| Optometrist | 152W00000X | OPT11282TPA | CA |
Addresses
Primary practice location
628 N 1St St
Ste C
Lakeview, OR 97630-1506
Mailing address
2640 Biehn St
Ste 3
Klamath Falls, OR 97601-1181
Phone (541) 884-3148
Other providers in Lakeview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.