Individual
COREY BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 BAKER RD, YORK, PA 17408-8763
(404) 438-3524
Mailing address
2250 BAKER RD, YORK, PA 17408-8763
(404) 438-3524
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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