Organization
RICHARD BURDICK, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DOUGLAS BURDICK O.D. (PRESIDENT)
(317) 209-8429
Entity
Organization
Contact information
Practice address
9500 E US HIGHWAY 36, AVON, AVON, IN 46123-7366
(317) 209-8429
(317) 209-8618
Mailing address
PO BOX 333, DANVILLE, IN 46122-0333
(317) 209-8429
(317) 209-8618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501920A
—
IN
Enumeration date
02/16/2012
Last updated
02/16/2012
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