Organization
BURNS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DONALD BURNS (PRESIDENT)
(573) 636-2103
Entity
Organization
Contact information
Practice address
2421 W EDGEWOOD DR STE A, JEFFERSON CTY, MO 65109-5844
(573) 636-2103
(573) 636-9267
Mailing address
2421 W EDGEWOOD DR STE A, JEFFERSON CTY, MO 65109-5844
(573) 636-2103
(573) 636-9267
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322330309
—
MO
01
—
7771
HC USA
MO
Enumeration date
05/15/2008
Last updated
05/15/2008
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