Provider Demographics
NPI:1679618946
Name:BUEHLER, DOUGLAS ARTHUR (OD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ARTHUR
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7484 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-5200
Mailing Address - Country:US
Mailing Address - Phone:989-453-2506
Mailing Address - Fax:989-453-2166
Practice Address - Street 1:7484 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-5200
Practice Address - Country:US
Practice Address - Phone:989-453-2506
Practice Address - Fax:989-453-2166
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002529152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0C26506OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI943483401Medicaid
MI0C26506OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MIU23862Medicare UPIN
MIM75360001Medicare PIN