Provider Demographics
NPI:1780736660
Name:BUXTON EYE SURGICAL P.C.
Entity type:Organization
Organization Name:BUXTON EYE SURGICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:BUXTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-979-4410
Mailing Address - Street 1:310 E 14TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4201
Mailing Address - Country:US
Mailing Address - Phone:212-979-4410
Mailing Address - Fax:212-353-5772
Practice Address - Street 1:310 E 14TH ST STE 403
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-979-4410
Practice Address - Fax:212-353-5772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156783-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1367546Medicaid
NY15678301OtherNEIGHBORHOOD
NY582A01OtherEMPIRE BLUE CROSS BLUE SHIELDS
NY1081833OtherCIGNA
NY156783B40OtherHEALTHFIRST 65
NV00106470007OtherUNITEDHEALTHCARE
NY163941OtherELDER PLAN
NYBD6783OtherATLANTIS
NY162439OtherGHI
NY1000004291OtherAFFINITY HEALTH PLAN
NYMN0003103OtherAMERICHOICE
NYNS2197OtherOXFORD
NY4562530OtherAETNA
NY6C0929OtherHEALTHNET
NY=========OtherGREAT WEST HEALTH CARE
NYNS2197OtherOXFORD
NY1081833OtherCIGNA
NY156783B40OtherHEALTHFIRST 65
NY=========OtherGREAT WEST HEALTH CARE
NYA64204Medicare UPIN