Gary John Burkhardt, O.D.

Optometrist · Chilton, WI

Individual Active NPI

NPI number 1861479412

Practice location

19 W Main St
Chilton, WI 53014-1323
Phone
(920) 849-4291
Fax
(920) 849-4292

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NPI record

NPI
1861479412
Entity type
Individual (Type 1)
Enumeration date
December 26, 2005
Last updated
January 28, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1989035 WI

About Dr. Burkhardt

Gary John Burkhardt, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 19 W Main St, Chilton, WI 53014-1323. The NPI number 1861479412 was assigned on December 26, 2005 and the record was last updated on January 28, 2013.

Dr. Burkhardt lists a license in the registry: #1989035 (WI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary John Burkhardt, O.D.?

The NPI number is 1861479412.

What is the phone number of Dr. Burkhardt?

The phone number listed for the practice location is (920) 849-4291.

Where is Dr. Burkhardt located?

19 W Main St, Chilton, WI 53014-1323.

What is the taxonomy code for Dr. Burkhardt?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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