Organization
JEFFREY L. BURCHAM, OPTOMETRIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L. BURCHAM O.D. (OPTOMETRIST)
(405) 364-2020
Entity
Organization
Contact information
Practice address
444 24TH AVE SW, NORMAN, OK 73069-5110
(405) 364-2020
(405) 364-2021
Mailing address
444 24TH AVE SW, NORMAN, OK 73069-5110
(405) 364-2020
(405) 364-2021
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
152W00000X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763530
—
OK
Enumeration date
01/06/2009
Last updated
10/22/2009
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