Pauline Kolker Buck, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPC2787 Issued in FL

Practice address

4770 Biscayne Blvd
Suite 550
Miami, FL 33137-3202

Phone

(305) 576-5338

Fax

(305) 576-5366

NPI assigned

Jun 2, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1083616155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD",
            "address_2": "SUITE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373202",
            "telephone_number": "305-576-5338",
            "fax_number": "305-576-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD",
            "address_2": "SUITE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373202",
            "telephone_number": "305-576-5338",
            "fax_number": "305-576-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "PAULINE",
        "middle_name": "KOLKER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC2787",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC2787",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "FL",
            "license": "OPC2787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620110500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamere Robert Buchanan
• Faraday Buchillon
• Jacqueline S Buchman, D.P.M.
• Sidonia Buchtova, PA-C
• Billy Eugene Buck, M.D.
• Danielle Buckley, PA-C
• Robert Thomas Buckley, M.D.
• Budding Minds ABA, LLC
• Buddy'S Sunset Mobility Center, Inc.
• Donald Lyle Budenz, MD

• Vision Therapy Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Vision Therapy Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.