Organization
MAYEMURA INC.
Active
Other names
Magnolia Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA BURDEN O.D. (OPTOMETRIST)
(206) 284-5850
Entity
Organization
Contact information
Practice address
3202 W MCGRAW ST, SEATTLE, WA 98199-3208
(206) 284-5850
(206) 600-5850
Mailing address
3202 W MCGRAW ST, SEATTLE, WA 98199-3208
(206) 284-5850
(206) 600-5850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028751
—
WA
Enumeration date
04/30/2008
Last updated
03/26/2009
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