Individual
DR. E. CY BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 E MAIN ST, RICHMOND, IN 47374-5708
(765) 962-2243
(765) 966-6199
Mailing address
1900 E MAIN ST, RICHMOND, IN 47374-5708
(765) 962-2243
(765) 966-6199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001885A
IN
152W00000X
Optometrist
Primary
18001885B
IN
152WC0802X
Corneal and Contact Management Optometrist
18001885B
IN
152WP0200X
Pediatric Optometrist
18001885B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354500
—
IN
01
—
410035825
RAILROAD MEDICARE
IN
Enumeration date
05/09/2006
Last updated
03/26/2008
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