NPIMap

Organization Active NPI

Clay Street Eyecare P.C.

  • Optometrist
  • Jasper, IN
National Provider Identifier
1952337008
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56000361A Issued in IN
Legal business name
CLAY STREET EYECARE P.C.
Practice address
501 Clay St
Jasper, IN 47546-3125
Phone
(812) 482-2195
Fax
(812) 634-6620
NPI assigned
Jun 23, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Thomas G. Buechler, O.D.NPI 1720023344
Title
President
Phone
(812) 482-2195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56000361A IN Primary

Addresses

Primary practice location

501 Clay St
Jasper, IN 47546-3125

Mailing address

501 Clay St
Jasper, IN 47546-3125
Phone (812) 482-2195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070209000213 IN Part B Supplier - Clinic/Group Practice 7012919731 Receives reassigned benefits from 2 practitioners
Practice locations: Jasper, IN
O20100930018200 IN DME Supplier - Physician - OptometristDME Supplier - Optician 7012919731 Practice locations: Jasper, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clay Street Eyecare, P.C.501 Clay St, Jasper, IN 47546-3125(812) 482-6010 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 28, 2006

National Provider Directory

National Provider Directory

Locations

501 Clay St
Jasper, IN 47546
Phone (812) 482-2155

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1952337008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CLAY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463125",
            "telephone_number": "812-482-2195",
            "fax_number": "812-634-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLAY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463125",
            "telephone_number": "812-482-2195",
            "fax_number": "812-634-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY STREET EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BUECHLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-482-2195",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.