Individual
DR. BURKE DAVID MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2701 S I H 35, ROUND ROCK, TX 78664-7320
(512) 388-2600
(512) 388-0854
Mailing address
1308 ARRONIMINK CIR, AUSTIN, TX 78746-6303
(512) 785-0632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5141T
TX
152W00000X
Optometrist
OPT001505
GA
152WC0802X
Corneal and Contact Management Optometrist
5141T
TX
152WC0802X
Corneal and Contact Management Optometrist
OPT001505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019327801
—
TX
01
—
13860
AVESIS
TX
01
—
19973
SPECTERA
TX
01
—
49292
DAVIS
—
01
—
550475
NATIONAL VISION ADMINISTRATORS
TX
01
—
920531
BLOCK (CHIP & AMERIGROUP)
TX
Enumeration date
10/12/2006
Last updated
02/17/2014
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