Provider Demographics
NPI:1457558256
Name:BUCKEYE VISION CARE, P.C.
Entity Type:Organization
Organization Name:BUCKEYE VISION CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-761-2345
Mailing Address - Street 1:7960 SOUTH UNIVERSITY BLVD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3167
Mailing Address - Country:US
Mailing Address - Phone:303-761-2345
Mailing Address - Fax:303-761-3535
Practice Address - Street 1:7960 SOUTH UNIVERSITY BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3167
Practice Address - Country:US
Practice Address - Phone:303-761-2345
Practice Address - Fax:303-761-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1618152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty