Individual
DR. TIFFANY A BURICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG02761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6189
STATE LICENCE
OH
Enumeration date
06/14/2013
Last updated
05/09/2025
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