National Provider Identifier
Gary Burdick
Gary Burdick is listed in the NPPES registry with a primary specialty of Optician in Webster, NY and a listed phone number of (585) 787-1810.
Profile Overview
- NPI
- 1245057629
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- September 25, 2024
- Last Updated
- September 25, 2024
Practice Location
- 1990 Brandt Point Dr
- Webster, NY 14580-1986
Phone: (585) 787-1810
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1245057629
- Entity Type
- Individual
- Last Name
- Burdick
- First Name
- Gary
- Name Prefix
- Mr.
- Mailing Street Address
- 1990 Brandt Point Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-1986
- Mailing Country
- US
- Mailing Phone
- (585) 787-1810
- Mailing Fax
- (585) 670-9932
- Practice Street Address
- 1990 Brandt Point Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1986
- Practice Country
- US
- Practice Phone
- (585) 787-1810
- Practice Fax
- (585) 670-9932
- Enumeration Date
- September 25, 2024
- Last Updated
- September 25, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)