Individual provider Active NPI

James Fred Buckner Jr., DOCTOR OF OPTOMETRY

  • Optometrist
  • Franklin, KY
National Provider Identifier
1184771545
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1148 DT Issued in KY
Practice address
1300 Bluegrass Rd
Suite a
Franklin, KY 42134-1981
Phone
(270) 586-3937
Fax
(270) 586-7371
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1148 DT KY Primary

Addresses

Primary practice location

1300 Bluegrass Rd
Suite a
Franklin, KY 42134-1981

Mailing address

PO Box 2804
Franklin, KY 42135-2804
Phone (270) 586-3937

Other identifiers 2

IdentifierTypeStateIssuer
77011484MedicaidKY
000000049744OtherKYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000210 KY Practitioner - Optometry 5496728636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

2608 Scottsville Rd
Bowling Green, KY 42104-4406
Phone (270) 782-2025

4135 Fort Campbell Blvd
Hopkinsville, KY 42240-8706
Phone (270) 887-5765

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
990LAMDClinical Psychologist
1148 DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Doctors of Optometrist CurrentSince Jul 12, 2018 Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Tri-State Doctors of Optometrist Past Accepting new patients
Dr. James F. Buckner, Jr Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751

4135 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 887-5765

2312 Sir Barton Way
Ste 170
Lexington, KY 40509
Phone (859) 543-8383

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061

7815 Preston Hwy
Louisville, KY 40219
Phone (502) 966-2020

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

100 W Market St
Louisville, KY 40202
Phone (502) 587-8488

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015

5220 Frederica St
Owensboro, KY 42301
Phone (270) 684-1174

3910 Hinkleville Rd
Paducah, KY 42001
Phone (270) 443-2090

2115 Lantern Ridge Dr
Ste U500
Richmond, KY 40475
Phone (859) 625-1004

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1184771545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2804",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421352804",
            "telephone_number": "270-586-3937",
            "fax_number": "270-586-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BLUEGRASS RD",
            "address_2": "SUITE A",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421341981",
            "telephone_number": "270-586-3937",
            "fax_number": "270-586-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "JAMES",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1148 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011484",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000049744",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

Verify at the official NPI Registry.