Individual
DR. SHAWN ALEXANDER BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
Mailing address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004194
—
CT
Enumeration date
04/07/2008
Last updated
05/04/2010
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