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Mr. Brian Michael Burton, LDO
Optician in Liberty, South Carolina
NPI 1043278716

Brian Michael Burton is a Optician based in Liberty, SC and is specialized in Optician. Brian Michael Burton practices in Liberty, SC and has the professional credentials of LDO. The NPI Number for Brian Michael Burton is 1043278716 and holds a License No. 242 (South Carolina).

The current practice location address for Brian Michael Burton is 134 Crimson Leaf Ln, Liberty, SC and can be reached out via phone at 864-506-6256 and via fax at 864-639-4012. You can also correspond with Brian Michael Burton through the mailing address at 134 CRIMSON LEAF LN, LIBERTY, SC - 29657-4202 (mailing address contact number: 864-506-6256).

Location: 134 Crimson Leaf Ln, Liberty, SC, 29657-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043278716
Provider Name
Brian Michael Burton
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
134 Crimson Leaf Ln, Liberty, SC, 29657-4202
Phone Number
864-506-6256
Fax Number
864-639-4012
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DV7760 05 SC
institution
Provider Business Practice Location Address Details
Address
134 Crimson Leaf Ln
City
Liberty
State
South Carolina
Zip
29657-4202
Phone Number
864-506-6256
Fax Number
864-639-4012
person
Provider Business Mailing Address Details
Address
134 Crimson Leaf Ln
City
Liberty
State
South Carolina
Zip
29657-4202
Phone Number
864-506-6256
Fax Number
864-639-4012
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
776 (South Carolina)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
242 (South Carolina)
Definition
Definition to come...
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