Brent D. Burch, OD

NPI #1033369244 in Fort Wayne, Indiana

Provider Information

NPI Number: 1033369244
Entity Type: Individual
Name: Brent D. Burch, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 24, 2008
Last Updated: Dec 10, 2012

Practice Location

Address: 7625 SOUTHTOWN XING
City: Fort Wayne
State: Indiana
ZIP Code: 46816-2517
Phone: (260) 447-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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