NPI 1194247056

Casey L Coulter, OD

Practitioner Optometrist Burton, MI

Practice location

Address: 4165 E Court St, Burton, MI 48509-1717
Phone: (810) 743-1267

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901005064 (MI)

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Registry record

NPI: 1194247056
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2017
Record last updated: 24 Apr 2019

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.