Healthcare Provider Details

I. General information

NPI: 1386571149
Provider Name (Legal Business Name): PEAK VIEW OPTOMETRY BUCKLEY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 N TELLURIDE ST BLDG 1
BUCKLEY AFB CO
80011-7809
US

IV. Provider business mailing address

365 N TELLURIDE ST BLDG 1
BUCKLEY AFB CO
80011-7809
US

V. Phone/Fax

Practice location:
  • Phone: 719-922-5596
  • Fax:
Mailing address:
  • Phone: 719-922-5596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SMITH GITCHEL
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 727-492-0859