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Contact Information

CHANNING F BUCKLEW, OD
14994 W MAIN ST
LOUISVILLE, MS39339-2616
 Phone: 662-773-3494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHANNING F BUCKLEW · (Male)

NPI Number 1699320929
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/05/2019
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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