Provider Demographics
NPI:1326146325
Name:DANNY A BURNS INC
Entity Type:Organization
Organization Name:DANNY A BURNS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-386-2858
Mailing Address - Street 1:1150 SOUTH FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-1150
Mailing Address - Country:US
Mailing Address - Phone:843-383-2858
Mailing Address - Fax:843-383-8951
Practice Address - Street 1:1150 SOUTH FOURTH ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-1150
Practice Address - Country:US
Practice Address - Phone:843-383-2858
Practice Address - Fax:843-383-8951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC658152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD06580Medicaid