MEDICARE: DR. JOHN R BUCH OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3987	FL

General Provider Information

NPI Number	:	1851694624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R BUCH OD

Provider Business Mailing Address
First Line	:	2411 SW COLLEGE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-1664
Country	:	US
Telephone Number	:	352-873-3937
Fax Number	:	352-873-7077

Provider Business Practice Location Address
First Line	:	2411 SW COLLEGE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-1664
Country	:	US
Telephone Number	:	352-873-3937
Fax Number	:	352-873-7077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	12/16/2010

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