Individual
MR. BRIAN MICHAEL BURTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
134 CRIMSON LEAF LN, LIBERTY, SC 29657-4202
(864) 506-6256
(864) 639-4012
Mailing address
134 CRIMSON LEAF LN, LIBERTY, SC 29657-4202
(864) 506-6256
(864) 639-4012
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
242
SC
156FX1800X
Optician
Primary
260
HI
156FX1800X
Optician
6004
OH
156FX1800X
Optician
776
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DV7760
—
SC
Enumeration date
05/03/2006
Last updated
09/11/2025
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