Wellformed AI

NPI 1730284274 · live from the CMS NPI Registry

Roger Lee Burch, O.D.

Optometrist in Caney, KS. National Provider Identifier 1730284274, active.

NPI record

NPI1730284274 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location124 W 4th Ave, Caney, KS 67333
Practice phone620-879-2020
Mailing addressPo Box 39, Caney, KS 67333
EnumeratedSeptember 13, 2006
Last updatedFebruary 7, 2008
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X1031-3 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.