Individual
DR. JAMES FRED BUCKNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF OPTOMETRY
Contact information
Practice address
1300 BLUEGRASS RD, SUITE A, FRANKLIN, KY 42134-1981
(270) 586-3937
(270) 586-7371
Mailing address
PO BOX 2804, FRANKLIN, KY 42135-2804
(270) 586-3937
(270) 586-7671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1148 DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049744
BCBS
KY
05
—
77011484
—
KY
Enumeration date
01/05/2007
Last updated
02/13/2008
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