Mason Buckley Childers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E46 Issued in AL

Practice address

6020 Boll Weevil Cir
Enterprise, AL 36330-9420

Phone

(334) 347-2732

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wiregrass Eye Care of Ozark, PCGroup PAC ID 9931598067, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wiregrass Eye Care of Ozark, PC

  • Optometrist
  • Ozark, AL
  • NPI 1205598737
  Medicare reassignment Care Compare group NPD
• John T. Bender, Jr., O.D., P.C.

  dba Bender Eyecare

  • Optometrist
  • Enterprise, AL
  • NPI 1194826057
  Medicare reassignment NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1952926776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 COUNTY ROAD 57",
            "city": "SKIPPERVILLE",
            "state": "AL",
            "postal_code": "363746863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363309420",
            "telephone_number": "334-347-2732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1892 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AL",
            "postal_code": "363603724",
            "country_code": "US",
            "telephone_number": "334-774-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "MASON",
        "middle_name": "BUCKLEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles V Oliver Orthodontist PC
• Scott Ashley Charlton, M.D.
• Brianna Leigh Chattin
• Nikki Chen, ARNP-C
• Chet J. Vahovius, DPM, PC
• Charlene Dobbs Chisum, O.D.
• Crystal Juanita Christian
• Terri Vanessa Christopher
• Chrysalis Counseling, LLC
• Jiyoung Chun, O.D.

• Optometrist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.