Provider Demographics
NPI:1205047305
Name:BUCKINGHAM AND KAMINSKI PLC
Entity type:Organization
Organization Name:BUCKINGHAM AND KAMINSKI PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-631-0930
Mailing Address - Street 1:307 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-5115
Mailing Address - Country:US
Mailing Address - Phone:989-631-0930
Mailing Address - Fax:989-832-3311
Practice Address - Street 1:307 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5115
Practice Address - Country:US
Practice Address - Phone:989-631-0930
Practice Address - Fax:989-832-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004014152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIJK004014OtherBCBS OF MICHIGAN
MIMI4014OtherEYEMED
MIP00299817OtherRAILROAD RETIREES
MIP00299817OtherRAILROAD RETIREES
MIU77462Medicare UPIN