Provider Demographics
NPI:1861672362
Name:FRANK R. BURNS, MD, PLC
Entity Type:Organization
Organization Name:FRANK R. BURNS, MD, PLC
Other - Org Name:MIDDLETOWN EYE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-245-0305
Mailing Address - Street 1:13324 SHELBYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3936
Mailing Address - Country:US
Mailing Address - Phone:502-245-0305
Mailing Address - Fax:502-254-1425
Practice Address - Street 1:13324 SHELBYVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3936
Practice Address - Country:US
Practice Address - Phone:502-245-0305
Practice Address - Fax:502-254-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25403207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY180025692OtherRAILROAD MEDICARE
KY0967903Medicare PIN
KYC72348Medicare UPIN
KY180025692OtherRAILROAD MEDICARE