Provider Demographics
NPI:1295854347
Name:BUFFINGTON EYECARE
Entity Type:Organization
Organization Name:BUFFINGTON EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BUFFINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-452-2020
Mailing Address - Street 1:1315 ALHAMBRA BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5244
Mailing Address - Country:US
Mailing Address - Phone:916-452-2020
Mailing Address - Fax:916-452-3365
Practice Address - Street 1:1315 ALHAMBRA BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5244
Practice Address - Country:US
Practice Address - Phone:916-452-2020
Practice Address - Fax:916-452-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5510TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty