NPI 1538305982

Jeffrey L. Burcham, Optometrist, INC.

Organisation Exclusive Provider Organization Norman, OK

Practice location

Address: 444 24th Ave SW, Norman, OK 73069-5110
Phone: (405) 364-2020
Fax: (405) 364-2021

Authorised official

Name: Jeffrey L. Burcham
Title: Optometrist
Phone: (405) 364-2020

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 152W00000X (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1538305982
Entity type: Organization
NPI issued: 6 Jan 2009
Record last updated: 22 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.