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DAVID J. BUTCHERT, O.D., PROFESSIONAL CORPORATION
NPI 1629492939
Optometrist in Cerritos, CA

Active since February 06, 2014CLIA 05D2287848 · Waiver
11847 SOUTH ST, CERRITOS, CA 90703(562) 865-6119 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David J. Butchert, O.d., Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID J. BUTCHERT, O.D., PROFESSIONAL CORPORATION (NPI 1629492939) is a healthcare organization registered as an optometrist in Cerritos, California and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists David Butchert, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629492939
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDAVID J. BUTCHERT, O.D., PROFESSIONAL CORPORATION
Location Address11847 SOUTH STCerritos, CA 90703-6825
Mailing Address11847 South StCerritos, CA 90703-6825
Phone(562) 865-6119
Organization SubpartNo
Authorized OfficialDavid ButchertPresident/ceo · (562) 865-6119
Enumeration DateFebruary 6, 2014
✔ NPI 1629492939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11847 SOUTH ST, Cerritos, CA 90703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J. Butchert, O.d., Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20141017002367DME · Physician - OptometristDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David J. Butchert, O.D., Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Butchert, O.D.
Optometry
NPI 1982746343
1641 N HACIENDA BLVD
La Puente, CA 91744
(626) 918-1407
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2287848

David Butchert, Od · Cerritos, CA
Active · expires Aug 16, 2027
CLIA Number05D2287848
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDavid J. Butchert
Laboratory Phone(562) 865-6119
Laboratory LocationDavid Butchert, Od11847 South St, Cerritos, CA 90703
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David J. Butchert, O.D., Professional Corporation's NPI number?

The NPI number for David J. Butchert, O.D., Professional Corporation is 1629492939. It was assigned to this organization in the NPPES registry on February 6, 2014.

Where is David J. Butchert, O.D., Professional Corporation located?

David J. Butchert, O.D., Professional Corporation is located at 11847 South St, Cerritos, CA 90703. The listed phone number is (562) 865-6119.

What is David J. Butchert, O.D., Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David J. Butchert, O.D., Professional Corporation enrolled in Medicare?

Yes. David J. Butchert, O.D., Professional Corporation is registered in the Medicare PECOS enrollment system.

When is David J. Butchert, O.D., Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Optometrist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David J. Butchert, O.D., Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to David J. Butchert, O.D., Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does David J. Butchert, O.D., Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287848) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David J. Butchert, O.D., Professional Corporation was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.