| Doctor Name: | JEFFREY PAUL BUENAU |
| NPI Number: | 1164743019 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | 7194 |
| Business Practice Address: | 228 Delaware Ave Delmar, NY - 120541244 |
| Business Phone Number: | 5184397012 |
| Business Fax Number: | 5186919277 |
| Mailing Address: | 228 Delaware Ave, DELMAR |
| State: | NY |
| Postal Code: | 120541244 |
| Phone Number: | 5184397012 |
| Fax Number: | 5186919277 |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 7194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |