Provider Demographics
NPI:1508078015
Name:BUCKEYE FAMILY EYE CLINIC, INC.
Entity Type:Organization
Organization Name:BUCKEYE FAMILY EYE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAUSHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-393-2588
Mailing Address - Street 1:205 S. HIGH ST.
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-9344
Mailing Address - Country:US
Mailing Address - Phone:937-393-2588
Mailing Address - Fax:
Practice Address - Street 1:205 S. HIGH ST.
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-9344
Practice Address - Country:US
Practice Address - Phone:937-393-2588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty