Individual provider Active NPI

Cylinda L. Butler, OD

  • Optometrist
  • Lebanon, MO
National Provider Identifier
1922037639
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03477 Issued in MO
Practice address
702 Owens Dr
Lebanon, MO 65536-3501
Phone
(417) 991-3200
Fax
(417) 501-7092
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03477 MO Primary

Addresses

Primary practice location

702 Owens Dr
Lebanon, MO 65536-3501

Mailing address

702 Owens Dr
Lebanon, MO 65536-3501
Phone (417) 991-3200

Other identifiers 1

IdentifierTypeStateIssuer
314694324MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040630000241 MO Practitioner - Optometry 3375520257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

702 Owens Dr
Lebanon, MO 65536-3501
Phone (417) 991-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03477MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Eyecare Optometrist CurrentSince Jun 12, 2018 Accepting new patients
Kramer & Newcomb OD, PC Optometrist PastSince Dec 31, 1991 Accepting new patients

Locations

702 Owens Dr
Lebanon, MO 65536
Phone (417) 532-5462

Interoperability endpoints

  • Direct secure messaging: cbutler1170@directb.mercy.net

Organizations & group practices 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1922037639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 OWENS DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363501",
            "telephone_number": "417-991-3200",
            "fax_number": "417-501-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 OWENS DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363501",
            "telephone_number": "417-991-3200",
            "fax_number": "417-501-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CYLINDA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314694324",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.