Individual
DR. STEPHEN GREGORY BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1283 BROAD ST, SUMTER, SC 29150-1973
(803) 920-2763
(803) 905-8065
Mailing address
124 LIMEHOUSE REACH RD, COLUMBIA, SC 29210-4402
(803) 920-2763
(803) 905-8065
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
RAILROAD MEDICARE PROV #
SC
Enumeration date
08/07/2006
Last updated
08/28/2012
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