Rhett Melvin Burgener, OD | |
1923 Mcculloch Blvd #102, Lake Havasu City, AZ 86403-6722 | |
(928) 854-3555 | |
(928) 854-4544 |
Full Name | Rhett Melvin Burgener |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 25 Years |
Location | 1923 Mcculloch Blvd #102, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598712440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1060 (Arizona) | Primary |
Provider Name | Pbw Optometry P C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255468930 PECOS PAC ID: 9133224421 Enrollment ID: O20070416000156 |
Mailing Address | Practice Location Address |
---|---|
Rhett Melvin Burgener, OD 2525 Talisman Ln, Lake Havasu City, AZ 86406-8267 Ph: (928) 505-5843 | Rhett Melvin Burgener, OD 1923 Mcculloch Blvd #102, Lake Havasu City, AZ 86403-6722 Ph: (928) 854-3555 |
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