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MR. GABRIEL THIERRY BURTON OD NPI 1114272200


NPI Information

NPI: 1114272200
Provider Name: MR. GABRIEL THIERRY BURTON, OD
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1 CHILDRENS PL
STE 3110
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6026
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MR. Gabriel Thierry Burton, OD is a pediatrics optometrist in Saint Louis, MO. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. MR. Gabriel Thierry Burton, OD NPI is 1114272200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHILDRENS PL
STE 3110
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6026
Fax: (314) 454-2368

The NPI 1114272200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/16/2012 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WP0200XOptometristPediatrics2012024705MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1319876504MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.