Individual provider Active NPI

Andrea Dawn Buchbaum, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1992954531
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1802 Issued in KS
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

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210001177 KS Practitioner - Optometry 3577743368 Reassigns benefits to 8 organizations

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
Eye Associates of Overland Park PAGroup PAC ID 3375515596, 10 clinicians
Eye Associates of Olathe PAGroup PAC ID 4284606492, 9 clinicians
Eye Associates of South OlatheGroup PAC ID 1850514068, 5 clinicians

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

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1802KSMDOptometrist
2008019684MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Prairie Village,PA Optometrist CurrentSince Aug 21, 2012 Accepting new patients
Eye Associates of Overland Park PA Optometrist CurrentSince Jan 19, 2011 Accepting new patients
Eye Associates of North Overland Park Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Eye Associates of Olathe PA Optometrist CurrentSince Jan 19, 2011 Accepting new patients
Eye Associates of South Overland Park Optometrist CurrentSince Aug 6, 2021 Accepting new patients
Eye Associates of Leawood PA Optometrist CurrentSince Jan 19, 2011 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.

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

Verify at the official NPI Registry.