Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tad Willis Buckingham, OD

Individual provider Optometrist · NPI 1992876056

Tad Willis Buckingham, OD is an Optometry in Gaston, Oregon. Qualified in 1994, 32 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Licensed in
OR
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

7615 SW Speaks Dr
Gaston, OR 97119-9117
Phone: (503) 459-9247
Fax: (503) 357-5493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4022ATI (OR)

Record details

NPI number1992876056
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7615 Sw Speaks Dr, Gaston, OR 97119-9117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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