Dr Marlon Burt Od Pc is a
Optometrist based in Kutztown, Pennsylvania. Dr Marlon Burt Od Pc is licensed to practice in Pennsylvania (license number OEG001552) and their current practice location is
126 W Main St, Kutztown, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(610) 683-3888.
NPI number for Dr Marlon Burt Od Pc is 1225029507 and their current mailing address is Po Box 268, Kutztown, Pennsylvania. Dr Marlon Burt Od Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225029507.
Healthcare Provider's Profile
Full Name | Dr Marlon Burt Od Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 126 W Main St, Kutztown, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225029507
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 10/29/2008
Medical Identifiers
Medical identifiers for Dr Marlon Burt Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225029507 | NPI | - | NPPES |
50041187 | Other | PA | CAPITOL BLUE |
MA1669529 | Other | PA | BLUE SHIELD |
3000375 | Other | | KHPC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG001552 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marlon Burt Od Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Marlon Burt Od Pc Po Box 268, Kutztown, PA 19530-0268 Ph: (610) 683-3888 | Dr Marlon Burt Od Pc 126 W Main St, Kutztown, PA 19530-1712 Ph: (610) 683-3888 |
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