BUCKEYE OPTOMETRY
NPI 1124307004
Optometrist in Marion, OH

Q: What is Buckeye Optometry's NPI number?

The NPI number for Buckeye Optometry is 1124307004. It was assigned to this organization in the NPPES registry on August 10, 2011.

Q: What is Buckeye Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Buckeye Optometry was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2011CLIA 36D2319215 · Waiver

150 MCMAHAN BLVD, BUCKEYE OPTICAL, MARION, OH 43302(740) 389-1300(740) 389-1335 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Buckeye Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKEYE OPTOMETRY (NPI 1124307004) is a healthcare organization registered as an optometrist in Marion, Ohio and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Kelly Lyn Bruch, President, as its authorized official.

NPPES Registry Identity

NPI1124307004

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBUCKEYE OPTOMETRY

Location Address150 MCMAHAN BLVD, BUCKEYE OPTICALMarion, OH 43302-5654

Mailing Address150 Mcmahan Blvd, Buckeye OpticalMarion, OH 43302-5654 · (740) 389-1300 · Fax (740) 389-1335

Phone(740) 389-1300

Fax(740) 389-1335

Organization SubpartNo

Authorized OfficialKelly Lyn BruchPresident · (740) 389-1300

Enumeration DateAugust 10, 2011

Last NPPES UpdateJuly 16, 2014

✔ NPI 1124307004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 5096

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

150 MCMAHAN BLVD, Marion, OH 43302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2319215

Buckeye Optometry · Marion, OH

Active · expires Feb 24, 2027

CLIA Number36D2319215

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorKelly L. Bruch

Laboratory Phone(740) 389-1300

Laboratory LocationBuckeye Optometry150 Mcmahan Blvd, Marion, OH 43302

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY LYN BRUCH O.D.

Optometrist

150 MCMAHAN BLVD, BUCKEYE OPTICAL
MARION, OH 43302

Marion County (740) 389-1300

BRUCH EYECARE & ASSOCIATES, INC.

Optometrist

150 MCMAHAN BLVD
MARION, OH 43302

Marion County (740) 389-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckeye Optometry's NPI number?

The NPI number for Buckeye Optometry is 1124307004. It was assigned to this organization in the NPPES registry on August 10, 2011.

Where is Buckeye Optometry located?

Buckeye Optometry is located at 150 Mcmahan Blvd Buckeye Optical, Marion, OH 43302. The listed phone number is (740) 389-1300.

What is Buckeye Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Buckeye Optometry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2319215) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Buckeye Optometry was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.