Organization Active NPI

Dr Richard C. Buck OD PC

  • Optometrist
  • Memphis, TN
National Provider Identifier
1972747475
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR RICHARD C. BUCK OD PC
Practice address
3499 Riverdale Rd
Memphis, TN 38115-4400
Phone
(901) 363-7739
Fax
(901) 363-7665
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Richard C. Buck, ODNPI 1548295983
Title
Owner
Phone
(901) 363-7739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3499 Riverdale Rd
Memphis, TN 38115-4400

Mailing address

3499 Riverdale Rd
Memphis, TN 38115-4400
Phone (901) 363-7739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090713000664 TN Part B Supplier - Clinic/Group Practice 8921150566 Receives reassigned benefits from 12 practitioners
Practice locations: Memphis, TN
O20221028001698 MS Part B Supplier - Clinic/Group Practice 8921150566 Receives reassigned benefits from 6 practitioners
Practice locations: Olive Branch, MS; Southaven, MS

National Provider Directory

National Provider Directory

Locations

5218 Goodman Rd
Olive Branch, MS 38654

338 Goodman Rd W
Ste B
Southaven, MS 38671

4562 Poplar Ave
Ste 115
Memphis, TN 38117
Phone (901) 683-1689

4655 Poplar Ave
Memphis, TN 38117
Phone (901) 683-1796

7706 Winchester Rd
Memphis, TN 38125
Phone (901) 752-1551

3499 Riverdale Rd
Memphis, TN 38115
Phone (901) 363-7089

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1972747475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154400",
            "telephone_number": "901-363-7739",
            "fax_number": "901-363-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154400",
            "telephone_number": "901-363-7739",
            "fax_number": "901-363-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD C. BUCK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-363-7739",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.