Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAD WILLIS BUCKINGHAM, O.D.
Active Sole ProprietorTAD WILLIS BUCKINGHAM, O.D. is a Optometrist healthcare provider located in GASTON, Oregon. NPI 1992876056 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GASTON, OR
Registration Details
- NPI Number
- 1992876056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2006 (19.726814164081 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4022ATI (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7615 SW SPEAKS DRGASTON, OR, 971199117Browse OR providers · Browse ZIP 97119
- Phone
- 5034599247
- Fax
- 5033575493
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.