Channing F Bucklew (NPI# 1699320929, PAC ID# 8022347061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1699320929 |
| PAC ID by PECOS | 8022347061 |
| Professional Enrollment ID | I20190917000736 |
| Full Name | Channing F Bucklew |
| Organization Legal Name | MS EYE CARE PA |
| Address |
3090 N Church Ave Louisville MS 39339-6349 |
| Phone Number | 6627733494 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3274814207 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3090 N Church Ave, Louisville, MS 39339-6349 | 6627733494 | MS EYE CARE PA |
| 3027 Jefferson St, Macon, MS 39341-2275 | 6627266111 | MS EYE CARE PA |
| Organization Legal Name | MS EYE CARE PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trent A Stribling | Optometry | Ms Eye Care Pa | 1054 Airpark Rd, Philadelphia, MS 39350-3368 |
| Sarah B Fratesi | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| William Gil Davis | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Emily N Fleming | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Richard Kent Stribling | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| David A Otto | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Jacob A Ivey | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Audrey T Otto | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Amy Ajax Crigler | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Christopher B Herring | Optometry | Ms Eye Care Pa | 5002 Hwy 39 N Building B, Meridian Eye Care, Meridian, MS 39301-1078 |
| Street Address |
3090 N CHURCH AVE |
| City | LOUISVILLE |
| State | MS |
| Zip | 39339-6349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica C Mills | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hayden Stokes Kilgore | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Jenkins Stidham | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| James Dustin Gentry | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Ashley Thomas Davis | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Jennifer Palmer | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Davis Perkins | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Kali Dempsey Rogers | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Michael L Ard | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hannah Stewart | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Find all physicians in zip 39339 | |||
| City | LOUISVILLE |
| Zip Code | 39339 |
| Specialty | OPTOMETRY |
| City + Specialty | LOUISVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Channing F Bucklew.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.