Individual provider Active NPI

Michael Aaron Buchanan II, O.D.

  • Optometrist
  • Oak Hill, WV
National Provider Identifier
1871945295
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2024-IOD1 Issued in WV
Practice address
209 Highland Ave
Oak Hill, WV 25901-3443
Phone
(304) 216-2726
NPI assigned
Jul 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2024-IOD1 WV Primary

Addresses

Primary practice location

209 Highland Ave
Oak Hill, WV 25901-3443

Mailing address

209 Highland Ave
Oak Hill, WV 25901-3443
Phone (304) 216-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170809000975 WV Practitioner - Optometry 9739450768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care IncGroup PAC ID 2264569094, 4 clinicians

Practice addresses (Care Compare)

520 N Jefferson St
Lewisburg, WV 24901-1164
Phone (304) 645-5822

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024-IOD1WVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care Inc Optometrist CurrentSince Jul 18, 2016 Accepting new patients

Locations

204 Town Center Rd
Fayetteville, WV 25840
Phone (304) 574-1279

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1871945295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HIGHLAND AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013443",
            "telephone_number": "304-216-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGHLAND AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013443",
            "telephone_number": "304-216-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2024-IOD1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.