Individual
DR. BRIAN T BURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1804 OAKLEY SEAVER DR, STE B, CLERMONT, FL 34711-1925
(407) 933-7800
Mailing address
1804 OAKLEY SEAVER DR, STE B, CLERMONT, FL 34711-1925
(407) 933-7800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-2729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621175500
—
FL
01
—
AC030X
PTAN
FL
Enumeration date
09/01/2006
Last updated
08/12/2020
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