Provider Demographics
NPI:1851694624
Name:BUCH, JOHN R (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:BUCH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2411 SW COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1664
Mailing Address - Country:US
Mailing Address - Phone:352-873-3937
Mailing Address - Fax:352-873-7077
Practice Address - Street 1:2411 SW COLLEGE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1664
Practice Address - Country:US
Practice Address - Phone:352-873-3937
Practice Address - Fax:352-873-7077
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3987152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist