Buckman, Jackson Thomas Lee
Buckman, Jackson Thomas Lee is an individual health care provider with primary practice located at 2277 Swanson Ave Ste 100 , Lake Havasu City AZ 86403-6141. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Buckman, Jackson Thomas Lee can be contacted via phone (928) 706-9991.Contact Information
Primary practice address
2277 Swanson Ave Ste 100
Lake Havasu City AZ 86403-6141
Phone: (928) 706-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-002704 | Arizona |
Profile Details
| NPI number | 1699451823 |
|---|---|
| LBN Legal business name | Buckman, Jackson Thomas Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2023 |
| Last updated | Jun 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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