IndividualActive
A. Bukeavich, O.D.
NPI 1821028879 · Optometrist · Martin, TN
Provider details
- NPI number
- 1821028879
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OD-1138 T (TN)
Practice location
145 Kennedy Dr
Martin, TN 38237-3340
Phone: (731) 587-2020
Fax: (731) 587-4015
Mailing address
145 Kennedy Dr
Martin, TN 38237-3340
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2008-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.