Burton, Brian Michael

Burton, Brian Michael is an individual health care provider with primary practice located at 134 Crimson Leaf Ln , Liberty SC 29657-4202. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens is his primary health care specialty. Burton, Brian Michael can be contacted via phone (864) 506-6256.

Contact Information

Primary practice address
134 Crimson Leaf Ln Liberty SC 29657-4202
Phone: (864) 506-6256
Fax: (864) 639-4012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X 242 South Carolina
Eye and Vision Services Providers / Optician 156FX1800X 776 South Carolina
Eye and Vision Services Providers / Optician 156FX1800X 6004 Ohio
Eye and Vision Services Providers / Optician 156FX1800X 260 Hawaii

Profile Details

NPI number 1043278716
LBN Legal business name Burton, Brian Michael
Credentials L.D.O.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043278716 NPPES
South Carolina MEDICAID DV7760

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