Individual
DR. ERIK TIMOTHY BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3805 MESSINA DR, LAKE MARY, FL 32746-2654
(715) 379-3073
Mailing address
3805 MESSINA DR, LAKE MARY, FL 32746-2654
(715) 379-3073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3124-35
WI
152W00000X
Optometrist
Primary
OPC-4556
FL
152W00000X
Optometrist
S-B73-TA-772
AL
Other
Enumeration date
10/24/2007
Last updated
11/11/2010
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