Provider Demographics
NPI:1760570857
Name:BUFFINGTON, SHERI (OD)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7542
Mailing Address - Country:US
Mailing Address - Phone:727-543-2486
Mailing Address - Fax:
Practice Address - Street 1:1331 S INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 1271
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1405
Practice Address - Country:US
Practice Address - Phone:407-323-1130
Practice Address - Fax:407-323-0979
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4117152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist