Lawrence Michael Buono, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

213972 Issued in NY

Practice address

41705 County Road 48
Southold, NY 11971-5016

Phone

(631) 265-8780

Fax

(631) 265-8521

NPI assigned

May 18, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Southold Medical and Surgical Eye Care PC

  • Ophthalmology Physician
  • Southold, NY
  • NPI 1710326921
  NPD
• Peconic Ophthalmology,PLLC

  • Ophthalmology Physician
  • Riverhead, NY
  • NPI 1043263692
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1871546192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-265-8780",
            "fax_number": "631-265-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41705 COUNTY ROAD 48",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119715016",
            "telephone_number": "631-265-8780",
            "fax_number": "631-265-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "213972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02192354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Broglia, RN
• Hildy Brown, MSPT, DPT
• Samuel Pearce Brown, D.O.
• Tyler James Buckley, DPT
• William F Buffone, DPM
• Michelle A Bysheim, RN
• Michelle P Callahan, PHARMACIST
• Anthony Cappadora, P.A.
• Lynn A Cataldo, P.T.
• Daniel R Charlebois, PT

• Ophthalmology Physician in Southold, NY
• Providers in Southold, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.