DR. PAULINE KOLKER BUCK O.D. NPI 1083616155

NPI Information

NPI: 1083616155
Provider Name: DR. PAULINE KOLKER BUCK, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
4770 BISCAYNE BLVD
SUITE 550
MIAMI, FL
ZIP 33137
Phone: (305) 576-5338
Get Directions

DR. Pauline Kolker Buck, O.D. is a vision therapy optometrist in Miami, FL. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Pauline Kolker Buck, O.D. NPI is 1083616155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4770 BISCAYNE BLVD
SUITE 550
MIAMI, FL
ZIP 33137-202
Phone: (305) 576-5338
Fax: (305) 576-5366

The enumeration date for this NPI number is 6/2/2005 and was last updated on 12/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WP0200X	Optometrist	Pediatrics	OPC2787	FLORIDA	No
2	152WX0102X	Optometrist	Occupational Vision	OPC2787	FLORIDA	No
3	152WV0400X	Optometrist	Vision Therapy	OPC2787	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U56106	MEDICARE UPIN	FLORIDA
2	20576	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	620110500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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