Individual
DR. RONALD A BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
305 E KIEHL AVE, SHERWOOD, AR 72120-2921
(501) 835-3937
(501) 835-2040
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR 2273
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103272722
—
AR
01
—
410000403
RAILROAD MEDICARE
AR
01
—
410039902
RAILROAD MEDICARE
AR
01
—
49234
AR BLUECROSS BLUE SHIELD
AR
01
—
49234B171
AR BLUECROSS BLUESHIELD
AR
01
—
49234F895
AR BLUECROSS BLUESHIELD
AR
Enumeration date
12/16/2005
Last updated
11/03/2020
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