| Dr Jackson Thomas Lee Buckman, OD | |
|
2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403-6141 | |
| (928) 706-9991 | |
| Not Available |
| Full Name | Dr Jackson Thomas Lee Buckman |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2277 Swanson Ave Ste 100, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699451823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002704 (Arizona) | Primary |
| Provider Name | Lake Havasu Family Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457569121 PECOS PAC ID: 0749220051 Enrollment ID: O20050505000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackson Thomas Lee Buckman, OD 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403-6141 Ph: (928) 706-9991 | Dr Jackson Thomas Lee Buckman, OD 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403-6141 Ph: (928) 706-9991 |
Ariel Esquibel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 383 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-680-1144 | |
Eyes Of Arizona Vision And Surgery Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403 Phone: 928-855-9477 Fax: 928-855-1799 | |
Havasu Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 383 S.lake Havasu Ave, Lake Havasu City, AZ 86403 Phone: 928-680-1144 Fax: 928-680-8639 | |
Lake Havasu Family Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-855-5026 Fax: 928-854-4512 | |
Dr. Crystal Rose Eppling, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-706-9991 | |
Bryant M Senica, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403 Phone: 928-855-9477 Fax: 928-855-1799 | |
Christina Ann Martinez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-855-5026 |