Organization
DR. JAMES F. BUCKNER, JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L DIGIUSEPPE (OFFICE MANAGER)
(270) 586-3937
Entity
Organization
Contact information
Practice address
1300 BLUEGRASS RD, FRANKLIN, KY 42134-1981
(270) 586-3937
Mailing address
PO BOX 2804, FRANKLIN, KY 42135-2804
(270) 586-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1148DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049744
BCBS
KY
01
—
410017878
RAILROAD MEDICARE
KY
05
—
77011484
—
KY
Enumeration date
04/23/2008
Last updated
08/07/2008
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