Individual
JONATHAN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9010 MICHIGAN RD, INDIANAPOLIS, IN 46268-3184
(317) 532-1606
(317) 532-1632
Mailing address
9010 MICHIGAN RD, INDIANAPOLIS, IN 46268-3184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003393A
IN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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