Burgett, Sarah Rebecca

Burgett, Sarah Rebecca is an individual health care provider with primary practice located at 4731 45Th Street Ct , Rock Island IL 61201-7102. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burgett, Sarah Rebecca can be contacted via phone (309) 793-2020.

Contact Information

Primary practice address
4731 45Th Street Ct Rock Island IL 61201-7102
Phone: (309) 793-2020
Fax: (309) 793-2602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.010509 Illinois

Profile Details

NPI number 1467715276
LBN Legal business name Burgett, Sarah Rebecca
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Mar 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467715276 NPPES
Illinois Other 977130 IL GROUP MEDICARE #
Illinois MEDICAID O46010509 IL GROUP MEDICARE #

Popular Providers