Zane Grey Burke, OPTICIAN
Individual provider Active NPI Optician · Gilbert, PA
NPI 1801940895 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801940895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- Brodheadsville Eye Care Center
Box 67 Ames Plaza
Gilbert, PA 18331 - Phone
- (610) 681-6116
- Fax
- (610) 681-6128
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
Brodheadsville Eye Care Center
Box 67 Ames Plaza
Gilbert, PA 18331
Mailing address
PO Box 67
RT.209
Gilbert, PA 18331-0067
Phone (610) 681-6116
Other providers in Gilbert, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.