Individual
JONATHAN BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5303 GLENWAY AVE, CINCINNATI, OH 45238-3706
(513) 921-8040
(513) 921-6483
Mailing address
2920 GLENDALE MILFORD RD, SUITE 220, CINCINNATI, OH 45241-3131
(513) 922-9000
(513) 922-4050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6446
OH
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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