Individual
DR. PAULINE KOLKER BUCK
Active
Individual
DR. PAULINE KOLKER BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
OPC2787
FL
152WV0400X
Vision Therapy Optometrist
Primary
OPC2787
FL
152WX0102X
Occupational Vision Optometrist
OPC2787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620110500
—
FL
Enumeration date
06/02/2005
Last updated
12/14/2011
Update your record
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