Jason M Burgett
Ophthalmologist
1345 Unity Pl Suite 245
Lafayette
, Indiana 47905-5770
Jason M Burgett
Ophthalmologist
1345 Unity Pl Suite 245
Lafayette
, Indiana 47905-5770
(765) 449-1196
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Jason M Burgett
- Po Box 4699
- Lafayette, IN
- Zip : 47903-4699
- Fax : (765) 449-1196
- Phone : (765) 449-2732
Second Address
- Jason M Burgett
- 1345 Unity Pl Suite 245
- Lafayette, IN
- Zip : 47905-5770
- Fax : (765) 446-5131
- Phone : (765) 446-5130
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 01046886A | IN |
National Provider Identifier
| NPI | 1023061736 |
|---|---|
| Provider Name | Jason M Burgett |
| First Address | Lafayette, IN 47903-4699 |
| Second Address | Lafayette, IN 47905-5770 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 15/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 180043005 | RAILROAD MEDICARE (01) | IN |
| 200133220 | (05) | IN |
| G53624 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.