Randy R Burt, Od Inc.

NPI #1851535900 in Glendora, California

Provider Information

NPI Number: 1851535900
Entity Type: Organization
Organization Name: Randy R Burt, Od Inc.
Primary Specialty: Optometrist
Enumeration Date: Apr 20, 2009
Last Updated: Apr 20, 2009

Practice Location

Address: 852 S GRAND AVE
City: Glendora
State: California
ZIP Code: 91740-4806
Phone: (626) 914-4815

Authorized Official

Name: DR. RANDY R BURT, O.D.
Title: OPTOMETRIST
Phone: (626) 914-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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