IndividualActive
Channing Bucklew, O.D.
NPI 1699320929 · Optometrist · Louisville, MS
Provider details
- NPI number
- 1699320929
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 998 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
14994 W Main St
Louisville, MS 39339-2616
Phone: (662) 773-3494
Approximate (ZIP-level) locationGet directions
Mailing address
14994 W Main St
Louisville, MS 39339-2616
Additional practice locations (1)
- 3027 Jefferson StMacon, MS 39341-2275Phone: (662) 726-6111
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.