Active NPI
Andrea Dawn Buchbaum, O.D.
- Optometrist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1802
- Practice address
- 10120 W. 119TH Street
Overland Park, KS 66213-1600 - Phone
- (913) 339-9090
- Fax
- (913) 339-6417
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1802 | KS | Primary |
| Optometrist | 152W00000X | 2008019684 | MO |
Addresses
Primary practice location
10120 W. 119TH Street
Overland Park, KS 66213-1600
Mailing address
10120 W. 119TH Street
Overland Park, KS 66213-1600
Phone (913) 339-9090
Other names 1
- Dr. Andrea Dawn Beedles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090
15257 W 135TH St
Olathe, KS 66062-1534
Phone (913) 780-9696
16021 S Bradley Dr
Olathe, KS 66062-3932
Phone (913) 440-9819
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1802 | KS | MD | Optometrist |
| 2008019684 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Prairie Village,PA | Optometrist | Current | Accepting new patients |
| Eye Associates of Overland Park PA | Optometrist | Current | Accepting new patients |
| Eye Associates of North Overland Park | Optometrist | Current | Accepting new patients |
| Eye Associates of Olathe PA | Optometrist | Current | Accepting new patients |
| Eye Associates of South Overland Park | Optometrist | Current | Accepting new patients |
| Eye Associates of Leawood PA | Optometrist | Current | Accepting new patients |
Locations
15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696
10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-9090
8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090
15069 Nall Ave
Overland Park, KS 66223
Phone (913) 825-2600
8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985
7632 State Line Rd
Prairie Vlg, KS 66208
Phone (913) 642-5000
Organizations & group practices 8
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.
-
- Optometrist
- Olathe, KS
- NPI 1245392059
-
- Optometrist
- Overland Park, KS
- NPI 1316009129
-
- Optometrist
- Olathe, KS
- NPI 1952731846
-
- Optometrist
- Leawood, KS
- NPI 1043331622
-
- Optometrist
- Overland Park, KS
- NPI 1932856994
-
- Optometrist
- Prairie Village, KS
- NPI 1932466513
-
- Optometrist
- Overland Park, KS
- NPI 1417495797
-
- Optometrist
- Shawnee, KS
- NPI 1316009111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1992954531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 W. 119TH STREET",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131600",
"telephone_number": "913-339-9090",
"fax_number": "913-339-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 W. 119TH STREET",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131600",
"telephone_number": "913-339-9090",
"fax_number": "913-339-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHBAUM",
"first_name": "ANDREA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1802",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2008019684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BEEDLES",
"middle_name": "DAWN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.