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Active NPI 1619190493 Individual Practitioner Female Practitioner

Dr. Olessia Xenia Butenko , OD

Optometrist • Central Square, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Olessia Butenko, OD is a certified Optometrist practicing in Central Square, NY. With approximately 26 years of clinical experience since graduating from New England College Of Optometry in 2000, Dr. Butenko delivers high-quality medical care to the local community at 3018 EAST AVE.

Dr. Butenko accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, new patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3018 East Ave
Inside Walmart Vision Center

Central Square, NY 130362713

Telephone 3156680422
Fax 3156680424
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1316964489

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Central Square, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Central Square, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Butenko (26 Years) 26 Yrs
Central Square Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
27 27 $140.00 $119.47
92004 New patient complete exam of visual system
18 18 $150.00 $141.32
92002 New patient problem focused exam of visual system
13 13 $94.77 $80.18
92012 Established patient problem focused exam of visual system
11 11 $94.73 $84.07

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV006228

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
000125424 (NY)
Commercial Insurance / Payer ID Mvp
366116 (NY)
Commercial Insurance / Payer ID Superior
27761 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Bridget Grosso , OPTICIAN

Technician/Technologist - Optician

NPI 1053165399
Nicole Broadwell

Technician/Technologist - Optician

NPI 1235966458
Marie Karboski

Technician/Technologist - Optician

NPI 1952817629

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2012

Registered at 3018 EAST AVE, INSIDE WALMART VISION CENTER, CENTRAL SQUARE, NY 130362713 (Tel: 3156680422)

📍
Updated Business Mailing Address February 15, 2012

Registered at 131 TEMPLE ST, OWEGO, NY 138271420 (Tel: 6077609275)

👤
Provider Name / Credentials Updated February 15, 2012

Recorded as OLESSIA BUTENKO, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2012

Optometrist (License #TUV006228 in NY)

🟢
Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619190493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: February 15, 2012
Sole Proprietor: Yes

Mailing Address

131 Temple St

Owego, NY 138271420

Phone: 6077609275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.