Provider Demographics
NPI:1346041621
Name:SM BURKHART, PLLC
Entity type:Organization
Organization Name:SM BURKHART, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAUNYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURKHART
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-639-7692
Mailing Address - Street 1:32205 S 4531 RD
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-5546
Mailing Address - Country:US
Mailing Address - Phone:918-639-7692
Mailing Address - Fax:
Practice Address - Street 1:35988 S HIGHWAY 82 UNIT B
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-6747
Practice Address - Country:US
Practice Address - Phone:918-639-7692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty