Individual
DR. CHARLOTTE LEIGH BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5920 ENCORE DR, DALLAS, TX 75240-4760
(972) 607-5978
Mailing address
5920 ENCORE DR, DALLAS, TX 75240-4760
(972) 607-5978
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07352T
TX
152W00000X
Optometrist
2654
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38707300
—
WI
Enumeration date
05/23/2006
Last updated
10/13/2020
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