Organization
STEPHEN BUCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G BUCK OD (OPTOMETRIST)
(252) 985-1371
Entity
Organization
Contact information
Practice address
1855 E MAIN ST, STE 14, TMB 151, SPARTANBURG, SC 29307-2309
(252) 985-1371
Mailing address
P O BOX 7396, ROCKY MOUNT, NC 27804-4837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
591
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D05910
—
SC
01
—
P00308477
RR MEDICARE PROV #
SC
Enumeration date
03/20/2007
Last updated
07/03/2008
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