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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT D. BURCH, OD

Active

BRENT D. BURCH, OD is a Optometrist healthcare provider located in FORT WAYNE, Indiana. NPI 1033369244 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT WAYNE, IN

Registration Details

NPI Number
1033369244
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2008 (17.869631188235 yrs)
Last Updated
Dec 10, 2012
Licenses
2358 (CO)
18002685A (IN)

Practice Information

Address
7625 SOUTHTOWN XING
FORT WAYNE, IN, 468162517
Browse IN providers · Browse ZIP 46816
Phone
2604479731
Fax
2604418276
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in FORT WAYNE, IN

Name Credential NPI
DR. KEVIN A. WHITELEATHER OD 1497758395
DAWN D. FREDERICKSON O.D. 1760489009
DR. JAMES ERVIN BLUME O.D. 1831197276
DR. MONA RUTH DEWART O.D. 1306844501
DR. MARTIN R. WHITE O.D. 1003816943
DR. KURT W. DOUGHERTY OD 1295727519
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.