Provider Demographics
NPI:1083970800
Name:BURD'S EYE VIEW, PC
Entity Type:Organization
Organization Name:BURD'S EYE VIEW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BURD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:573-562-8096
Mailing Address - Street 1:618 SAINT FRANCOIS RD
Mailing Address - Street 2:
Mailing Address - City:BONNE TERRE
Mailing Address - State:MO
Mailing Address - Zip Code:63628-9201
Mailing Address - Country:US
Mailing Address - Phone:573-562-8096
Mailing Address - Fax:
Practice Address - Street 1:407 N STATE ST
Practice Address - Street 2:
Practice Address - City:DESLOGE
Practice Address - State:MO
Practice Address - Zip Code:63601-3053
Practice Address - Country:US
Practice Address - Phone:573-431-2974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009016902152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty