Kieth J. Burkart, O.d., A Professional Corporation | |
29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | |
(909) 337-4310 | |
(909) 336-5937 |
Full Name | Kieth J. Burkart, O.d., A Professional Corporation |
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Type | Facility |
Speciality | Optometrist |
Location | 29099 Hospital Rd, Lake Arrowhead, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548377666 | NPI | - | NPPES |
SD0056390 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | COR1096 (California) | Primary |
Provider Name | Kieth J Burkart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891706354 PECOS PAC ID: 0749265742 Enrollment ID: I20070313000558 |
Mailing Address | Practice Location Address |
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Kieth J. Burkart, O.d., A Professional Corporation Po Box 2226, Lake Arrowhead, CA 92352-2226 Ph: (909) 337-4310 | Kieth J. Burkart, O.d., A Professional Corporation 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 Ph: (909) 337-4310 |
Henry D'antonio, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352 Phone: 909-337-4310 Fax: 909-336-5937 | |
Dr. Kieth J Burkart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352 Phone: 909-337-4310 Fax: 909-336-5937 |