Provider Demographics
NPI:1679788798
Name:BUCHMAN, B K (OD)
Entity Type:Individual
Prefix:DR
First Name:B
Middle Name:K
Last Name:BUCHMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 JACOLYN DR NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-4202
Mailing Address - Country:US
Mailing Address - Phone:319-396-2020
Mailing Address - Fax:
Practice Address - Street 1:182 JACOLYN DR NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4202
Practice Address - Country:US
Practice Address - Phone:319-396-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1886152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist