Organization
LAN F BURCH
Active
Other names
Burch Caldwell & Optometric Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN F BURCH OD (OWNER)
(870) 732-4701
Entity
Organization
Contact information
Practice address
201 SOUTH AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-4701
(870) 732-5400
Mailing address
201 S AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-4701
(870) 732-5400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F238
MEDICARE GROUP ID
AR
Enumeration date
11/14/2006
Last updated
03/18/2008
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