Individual
DR. BRETT MICHAEL BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
4800 GOLF RD STE 127, EAU CLAIRE, WI 54701-9049
(715) 834-8404
Mailing address
1816 FENWICK AVE, EAU CLAIRE, WI 54701-4418
(715) 579-0576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3273-35
WI
152W00000X
Optometrist
3549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020677066
VISIONWORKS
WI
Enumeration date
06/21/2012
Last updated
03/08/2021
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