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NPI Code Detail

MEDICARE: BURKE EYE CARE, INC.

MEDICARE: BURKE EYE CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618001134VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1295922OTHERVAMAMSI
2345981OTHERVABLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104969369
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURKE EYE CARE, INC.
Provider Business Mailing Address
First Line : 2021 LYNNHAVEN PKWY
Second Line : SUITE A
City : VIRGINIA BEACH
State : VA
Zip : 23456-1410
Country : US
Telephone Number : 757-471-4040
Fax Number : 757-471-4077
Provider Business Practice Location Address
First Line : 2021 LYNNHAVEN PKWY
Second Line : SUITE A
City : VIRGINIA BEACH
State : VA
Zip : 23456-1410
Country : US
Telephone Number : 757-471-4040
Fax Number : 757-471-4077
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. LAURA N. BURKE
Credential : O.D.
Telephone Number : 757-471-4040
Provider Enumeration Date : 02/15/2007
Last Update Date : 06/11/2008

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Directions to “BURKE EYE CARE, INC. ” Practice Location

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