Individual provider · NPI-1

Carolyn Ann Burchett, L.D.O.

Technician/Technologist, Optician · Toledo, OH

NPI number1376790790
StatusActive
Last updated in NPPESAug 27, 2008

Details

NPI
1376790790
Entity type
Individual (NPI-1)
Name
Mrs. Carolyn Ann Burchett
Credential
L.D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2008
Last updated
Aug 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician5253OHYes

Practice location

2164 Tremainsville Rd.
Toledo, OH 43613

Phone 419-474-6699

Mailing address

2164 Tremainsville Rd.
Toledo, OH 43613

Phone 419-474-6699

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