Provider Demographics
NPI:1639286883
Name:BUCKINGHAM EYE ASSOCIATES PC
Entity Type:Organization
Organization Name:BUCKINGHAM EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:OCHSENRAITHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-489-4080
Mailing Address - Street 1:5175 COLD SPRING CREAMERY ROAD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-489-4080
Mailing Address - Fax:215-489-2660
Practice Address - Street 1:5175 COLD SPRING CREAMERY ROAD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-489-4080
Practice Address - Fax:215-489-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADEG001000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0C611109Medicare ID - Type Unspecified
U24480Medicare UPIN