Buckner, John
Buckner, John is an individual health care provider with primary practice located at 6757 W Newberry Rd , Gainesville FL 32605. He recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as his primary health care specialty. Buckner, John can be contacted via phone (352) 331-2040.Contact Information
Primary practice address
6757 W Newberry Rd
Gainesville FL 32605
Phone: (352) 331-2040
Fax: (352) 331-1526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | 792 | Florida |
Profile Details
| NPI number | 1194850388 |
|---|---|
| LBN Legal business name | Buckner, John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 11th, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194850388 | NPPES |
| Florida | MEDICAID | 084305900 | |
| Florida | Other | 421588508 | |
| Florida | Other | 796 |
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