Dr. Andrew R Buzzelli, O.D.
Optometrist in Pikeville, KY. Individual provider (NPI-1).
NPI number1689689101
StatusActive
Last updated in NPPESJan 27, 2016
Details
- NPI
- 1689689101
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew R Buzzelli
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2006
- Last updated
- Jan 27, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | KY1973DT | KY | Yes |
| 152W00000X | Optometrist | 27OA00340800 | NJ |
Practice location
147 Sycamore StPikeville, KY 41501-9118
Phone 606-218-5511 · Fax 606-218-5509
Mailing address
147 Sycamore StPikeville, KY 41501-9118
Phone 606-218-5511 · Fax 606-218-5509
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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