| Brent D Burch, OD | |
|
7625 Southtown Xing, Fort Wayne, IN 46816-2517 | |
| (260) 447-9731 | |
| (260) 441-8276 |
| Full Name | Brent D Burch |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7625 Southtown Xing, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033369244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2358 (Colorado) | Secondary |
| 152W00000X | Optometrist | 18002685A (Indiana) | Primary |
| Provider Name | Evans Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992784599 PECOS PAC ID: 9830169234 Enrollment ID: O20040730000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent D Burch, OD 10529 Hosler Rd Ste A, Leo, IN 46765-9736 Ph: (260) 627-2669 | Brent D Burch, OD 7625 Southtown Xing, Fort Wayne, IN 46816-2517 Ph: (260) 447-9731 |
Dr. Martin R. White, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6110 Maplecrest Rd, Fort Wayne, IN 46835 Phone: 260-486-8833 Fax: 260-486-8784 | |
Dr. George D Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-3095 Fax: 260-420-2258 | |
Eric Skorupa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2001 Reed Rd, Fort Wayne, IN 46815 Phone: 260-426-5663 Fax: 260-426-5693 | |
Steven R. Rutan, O.d., Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5229 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-484-1453 Fax: 260-483-8287 | |
Dr. Frank Robinson Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6710 Old Trail Rd, Fort Wayne, IN 46809 Phone: 260-203-5905 Fax: 260-218-1802 | |
Dr. Daniel P Taylor, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 431 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-484-8516 Fax: 260-484-8521 |