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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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