Provider Demographics
NPI:1518605484
Name:BURBEE, CLAIRE ELISE (OD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELISE
Last Name:BURBEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ELISE
Other - Last Name:KEATING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10557 E HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-2308
Mailing Address - Country:US
Mailing Address - Phone:918-279-8839
Mailing Address - Fax:866-871-7350
Practice Address - Street 1:10557 E HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-2308
Practice Address - Country:US
Practice Address - Phone:918-279-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-21
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK3164152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program