Provider Demographics
NPI:1629119862
Name:BURTON, ELEANOR (OD)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:
Last Name:BURTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 W 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-4008
Mailing Address - Country:US
Mailing Address - Phone:703-887-9069
Mailing Address - Fax:
Practice Address - Street 1:4647 W 52ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-4008
Practice Address - Country:US
Practice Address - Phone:703-887-9069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001329152W00000X
MA4854152W00000X
CO3078152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist