Organization
EYE DESIGN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L BURNS OD (OPTOMETRIST)
(301) 868-9090
Entity
Organization
Contact information
Practice address
7801 OLD BRANCH AVE, SUITE 103, CLINTON, MD 20735-1608
(301) 868-9090
Mailing address
7801 OLD BRANCH AVE, SUITE 103, CLINTON, MD 20735-1608
(301) 868-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0523025
AETNA
MD
01
—
271445
MDIPA
MD
Enumeration date
10/23/2007
Last updated
10/23/2007
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