Provider Demographics
NPI:1881703924
Name:BURNS, FRANK R (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:R
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
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:502-499-0966
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:502-499-0966
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25403174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00401038OtherRAILROAD MEDICARE
KYP00401038OtherRAILROAD MEDICARE
0967903Medicare PIN
KYC72348Medicare UPIN