Individual
DR. JACOB BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
301 BURKESVILLE STREET, COLUMBIA, KY 42728-1921
(270) 384-6043
(270) 384-0672
Mailing address
301 BURKESVILLE STREET, COLUMBIA, KY 42728-1921
(270) 384-6043
(270) 384-0672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1893DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841253424
GROUP NPI
KY
01
—
KY1893DT
STATE LICENSE NUMBER
KY
Enumeration date
07/24/2012
Last updated
06/03/2022
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