Individual
DR. SCOTT DOUGLAS BURNOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1247 N MAIN ST, MARION, VA 24354-4311
(276) 783-6262
(276) 783-2295
Mailing address
1247 N MAIN ST, MARION, VA 24354-4311
(276) 783-6262
(276) 783-2295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000903
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156084
—
VA
01
—
P00215392
RAILROAD MEDICARE
VA
Enumeration date
08/25/2005
Last updated
01/24/2014
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