NPI 1033369244

Brent D. Burch, OD

Practitioner Optometrist Fort Wayne, IN

Practice location

Address: 7625 Southtown Xing, Fort Wayne, IN 46816-2517
Phone: (260) 447-9731
Fax: (260) 441-8276
Mailing address: 10529 Hosler Rd STE a, Leo, IN 46765-9736

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002685A (IN)

Other Optometrist providers in Indiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2358 (CO)

Registry record

NPI: 1033369244
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2008
Record last updated: 10 Dec 2012

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.