Organization
BUCKEYE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LYN BRUCH O.D. (PRESIDENT)
(740) 389-1300
Entity
Organization
Contact information
Practice address
150 MCMAHAN BLVD, BUCKEYE OPTICAL, MARION, OH 43302-5654
(740) 389-1300
(740) 389-1335
Mailing address
150 MCMAHAN BLVD, BUCKEYE OPTICAL, MARION, OH 43302-5654
(740) 389-1300
(740) 389-1335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5096
OH
Other
Enumeration date
08/10/2011
Last updated
07/16/2014
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