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SCOTT M. BUCKINGHAM, OD PC
NPI 1790966646
Optometrist in Midland, MI

Active since November 20, 2007
2808 W WACKERLY ST, SUITE 1, MIDLAND, MI 48640(989) 636-7580(989) 636-7583 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott M. Buckingham, Od Pc NPPES

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

SCOTT M. BUCKINGHAM, OD PC (NPI 1790966646) is a healthcare organization registered as an optometrist in Midland, Michigan and active in the NPI registry since November 2007. The organization lists Jeri L Overly, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790966646
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSCOTT M. BUCKINGHAM, OD PC
Location Address2808 W WACKERLY ST, SUITE 1Midland, MI 48640-6997
Mailing Address2808 W Wackerly St, Suite 1Midland, MI 48640-6997 · (989) 636-7580 · Fax (989) 636-7583
Phone(989) 636-7580
Fax(989) 636-7583
Organization SubpartNo
Authorized OfficialJeri L OverlyOffice Manager · (989) 636-7580
Enumeration DateNovember 20, 2007
Last NPPES UpdateMarch 25, 2009
✔ NPI 1790966646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 003193
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.
2808 W WACKERLY ST, Midland, MI 48640
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Other Identifiers 4

Other900E611320MI · Blue Cross Blue Shield
Medicare UPINT96958MI
Medicare PIN0M02100MI
Medicare NSC0992990001MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott M. Buckingham, Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Scott M. Buckingham, Od PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

John Kaminski, OD
Optometry
NPI 1003811605
1504 HARCREST DR
Midland, MI 48640
(989) 636-7580
✔ PECOS✔ Accepts Medicare0.7 mi
Amy Buchanan, OD
Optometry
NPI 1922209451
6749 CASCADE RD SE
Grand Rapids, MI 49546
(616) 957-3099
✔ PECOS✔ Accepts Medicare81 mi

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

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 Scott M. Buckingham, Od PC's NPI number?

The NPI number for Scott M. Buckingham, Od PC is 1790966646. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Scott M. Buckingham, Od PC located?

Scott M. Buckingham, Od PC is located at 2808 W Wackerly St Suite 1, Midland, MI 48640. The listed phone number is (989) 636-7580.

What is Scott M. Buckingham, Od PC's specialty?

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

Is Scott M. Buckingham, Od PC enrolled in Medicare?

Yes. Scott M. Buckingham, Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott M. Buckingham, Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Scott M. Buckingham, Od PC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Scott M. Buckingham, Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Scott M. Buckingham, Od PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott M. Buckingham, Od PC was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.