Provider Demographics
NPI:1386215614
Name:BUK, GINA LEE (OD)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:LEE
Last Name:BUK
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 1:1512 TOWN CENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7683
Mailing Address - Country:US
Mailing Address - Phone:512-251-3700
Mailing Address - Fax:512-251-3706
Practice Address - Street 1:1512 TOWN CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7683
Practice Address - Country:US
Practice Address - Phone:512-251-3700
Practice Address - Fax:512-251-3706
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10190TG152W00000X
TX10190T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist