Provider Demographics
NPI:1245300912
Name:BURNS, ZAKRI MARCUS (OD)
Entity type:Individual
Prefix:DR
First Name:ZAKRI
Middle Name:MARCUS
Last Name:BURNS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20853 W EASTVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-8363
Mailing Address - Country:US
Mailing Address - Phone:602-315-0441
Mailing Address - Fax:
Practice Address - Street 1:1100 N ESTRELLA PKWY
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2808
Practice Address - Country:US
Practice Address - Phone:623-925-9971
Practice Address - Fax:623-925-9982
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1399152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZX18946Medicare UPIN