MEDICARE: BUTCHER OPTICAL III, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2059	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043588791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTCHER OPTICAL III, INC

Provider Business Mailing Address
First Line	:	11668 BITOLA DR
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-3768
Country	:	US
Telephone Number	:	405-720-8316
Fax Number	:	813-219-8111

Provider Business Practice Location Address
First Line	:	7308 NW EXPRESSWAY STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1545
Country	:	US
Telephone Number	:	405-720-8316
Fax Number	:	405-421-0944

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFF BUTCHER
Credential	:	OD
Telephone Number	:	405-317-2140

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	02/11/2026

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