Search › Indiana › Optometrist
Brent Burch, OD
NPI 1033369244 · on the registry since 2008
Practice
- Address
- 7625 Southtown Xing
Fort Wayne, IN 46816 - Phone
- (260) 447-9731
- Fax
- (260) 441-8276
- Organisation at this address
- Longe Enterprises Corp
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Optometrist
- Licence states on file
- CO, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana