Buck, Stephen R

Buck, Stephen R is an individual health care provider with primary practice located at 502 Marquette St , Valparaiso IN 46383-2509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Buck, Stephen R can be contacted via phone (219) 464-8223.

Contact Information

Primary practice address
502 Marquette St Valparaiso IN 46383-2509
Fax: (219) 531-2356
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001697A Indiana

Profile Details

NPI number 1134235849
LBN Legal business name Buck, Stephen R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated May 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134235849 NPPES
Indiana Other 000000306486 ANTHEM BC/BS
Indiana MEDICAID 100207680 ANTHEM BC/BS
Indiana Other 000000083382 ANTHEM BC/BS

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