Individual
BRENDA LYNN BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14050 JUANITA DR NE, SUITE A, KIRKLAND, WA 98034-9708
(425) 820-2020
(425) 821-9576
Mailing address
14050 JUANITA DR NE, SUITE A, KIRKLAND, WA 98034-9708
(425) 820-2020
(425) 821-9576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX3126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11719788
CAQH PERSONAL ID#
WA
01
—
1760526628
NPI PERSONAL
WA
01
—
1831822
CHPW INDIVIDUAL ID#
WA
05
—
2021087
—
WA
01
—
G8881012
MEDICARE INDIVIDUAL PTAN
WA
01
—
P00792547
RAILROAD MEDICARE INDIVIDUAL
WA
Enumeration date
02/16/2007
Last updated
03/07/2023
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