Buckner Vision, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3238TG Issued in TX

Legal business name

BUCKNER VISION, P.A.

Doing business as

Buckner Vision

Practice address

2744 S Buckner Blvd
Dallas, TX 75227-6903

Phone

(214) 388-9767

Fax

(214) 388-4753

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Mark Wilkes, O.D.NPI 1255317202

Title

President

Phone

(214) 388-9767

Specialties & licenses 1

Addresses

Other names 1

• Buckner Vision Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Mark Wilkes, OD

  • Optometrist
  • Dallas, TX
  • NPI 1255317202
  NPD (past) Authorized official
• Glenn Gordon Deshaw, O.D.

  • Optometrist
  • Garland, TX
  • NPI 1346284643
  NPD (past)
• Billy Craig Thompson, OD

  • Optometrist
  • Dallas, TX
  • NPI 1871601393
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1265752232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276903",
            "telephone_number": "214-388-9767",
            "fax_number": "214-388-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276903",
            "telephone_number": "214-388-9767",
            "fax_number": "214-388-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER VISION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-388-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3238TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckner Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Buckner Retirement Services, Inc. (Buckner Hospice - Dallas)
• Buckner RSVG PLLC
• Buckner Rsvglc PLLC (Alta Orthodontics and Dental Specialists)
• Buckner Senior Living, Inc. (Ventana by Buckner)
• Buckner Smiley Dental PLLC
• Madeline Buckthal, LPC
• Hezron Budgeon
• Albert Budhipramono, MD, PHD
• Nitin Budhwar, MD
• Amber Adams Buehler, FNP-C

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.