Jaclyn Buehner, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1475 Issued in SC

Legal business name

JACLYN BUEHNER, O.D., INC.

Practice address

511 N Highway 52
Moncks Corner, SC 29461-3132

Phone

(843) 899-3838

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Buehner, O.D.NPI 1740464734

Title

Optometrist

Phone

(440) 773-1096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Suzanne Buehner, O.D.

  • Optometrist
  • Grove City, OH
  • NPI 1740464734

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1922402635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613132",
            "telephone_number": "843-899-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613132",
            "telephone_number": "843-899-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN BUEHNER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BUEHNER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-773-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Nicole Infinger
• Innovative Endodontics
• Nikki L Isaac, RN
• Ayanna M Jackson
• Tina L Jackson
• Maya Elizabeth James
• Camryn Jenkins
• Shakeitha L Jenkins
• Stevie Jenkins, RN
• Essence L Jennings, LPC-A

• Optometrist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.