| NPI | 1215752472 |
|---|---|
| Doing Business As | BUCKEYE VISION CARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL NATHANIEL OSNES Medical Director 651-452-0344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |