| Doctor Name: | MR. BRIAN MICHAEL BURTON |
| NPI Number: | 1043278716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.D.O. |
| License Number: | 242 |
| Business Practice Address: | 134 Crimson Leaf Ln Liberty, SC - 296574202 |
| Business Phone Number: | 8645066256 |
| Business Fax Number: | 8646394012 |
| Mailing Address: | 134 Crimson Leaf Ln, LIBERTY |
| State: | SC |
| Postal Code: | 296574202 |
| Phone Number: | 8645066256 |
| Fax Number: | 8646394012 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FC0800X |
| License Number: | 242 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SC |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Contact Lens |
| Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |