Erik Duane Burgwald in Champaign - Optometrist
Erik Duane Burgwald - NPI 1689644684
Erik Duane Burgwald is a Optometrist in Champaign, Illinois. Erik Duane Burgwald practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Erik Duane Burgwald is 1689644684. The last update date is 2015-07-31.
Erik Duane Burgwald's current location address is 1711 S Neil St, Champaign, Illinois. You can contact this provider via phone number 2173592390 and fax number 2173593180. The mailing address for Erik Duane Burgwald is 1711 S Neil St, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erik Duane Burgwald |
|---|---|
| Address | 1711 S Neil St, Champaign, Illinois |
| Phone Number | 2173592390 |
| Fax Number | 2173593180 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1689644684 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2015-07-31 |
Provider Mailing Address Detail
| Address | 1711 S Neil St |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 61820 |
| Phone Number | 2173592390 |
| Fax Number | 2173593180 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008644 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008649 | IL | DPR | |
| 346000884 | IL | DPR |
Post Comment/ Review Below
What is the unique identifier code issued to Erik Duane Burgwald by the Centers for Medicare & Medicaid Services?
The Erik Duane Burgwald has been assigned the NPI (National Provider Identifier) 1689644684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Erik Duane Burgwald?
The Erik Duane Burgwald is situated at 1711 S Neil St, in the city of Champaign, state of IL, with the zip code 61820.
What is the Erik Duane Burgwald's specialty and taxonomy code?
The Erik Duane Burgwald's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Erik Duane Burgwald receive its 1689644684 assignment?
The Erik Duane Burgwald was assigned its 1689644684 on 2006-01-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Erik Duane Burgwald, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Erik Duane Burgwald, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-31.
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