Provider Demographics
NPI:1437399268
Name:DR. BURNS & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DR. BURNS & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-937-1655
Mailing Address - Street 1:10265 W CAMELBACK RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5005
Mailing Address - Country:US
Mailing Address - Phone:623-937-1655
Mailing Address - Fax:623-930-1396
Practice Address - Street 1:10265 W CAMELBACK RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5005
Practice Address - Country:US
Practice Address - Phone:623-937-1655
Practice Address - Fax:623-930-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty