Organization Active NPI

Buck I Dunn OD PA

  • Medical Specialty Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1134745748
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BUCK I DUNN OD PA
Practice address
4125 Cleveland Ave Ste 35
Fort Myers, FL 33901-9046
Phone
(239) 936-8088
NPI assigned
Jun 19, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Buck Dunn, ODNPI 1912521345
Title
President
Phone
(412) 913-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

4125 Cleveland Ave
Ste 35
Fort Myers, FL 33901
Phone (239) 936-8088

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

4125 Cleveland Ave Ste 35
Fort Myers, FL 33901-9046

Mailing address

16058 Via Solera Cir Apt 102
Fort Myers, FL 33908-3782

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2020.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1134745748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16058 VIA SOLERA CIR APT 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 CLEVELAND AVE STE 35",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019046",
            "telephone_number": "239-936-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCK I DUNN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "BUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-913-4303",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.