ROBERT ALLEN BURST


Address: 949 N Navy Blvd, Pensacola, FL 32507-1274
Phone: 8504555070

ROBERT ALLEN BURST (NPI# 1912030909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912030909
Entity Type Individual
Full Name ROBERT ALLEN BURST
Other Name ROBERT ALLEN BURST
Credential OPTICIAN
Practice Address 949 N Navy Blvd
Pensacola
FL 32507-1274
Mailing Address 949 N Navy Blvd
The Optical Outlet
Pensacola
FL 32507-1274
Practice Telephone 8504555070
Practice Fax Number 8504585061
Mailing Telephone 8504555070
Mailing Fax Number 8504585061
Enumeration Date 2007-03-13
Last Update Date 2008-05-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1703 FL Eye and Vision Services Providers

Office Location

Street Address 949 N NAVY BLVD
City PENSACOLA
State FL
Zip Code 32507-1274

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City PENSACOLA
Zip Code 32507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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