Provider Demographics
NPI:1366401382
Name:BURNS ASSOCIATES, P.C.
Entity type:Organization
Organization Name:BURNS ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-248-4574
Mailing Address - Street 1:54 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2201
Mailing Address - Country:US
Mailing Address - Phone:717-248-4574
Mailing Address - Fax:717-248-3937
Practice Address - Street 1:54 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2201
Practice Address - Country:US
Practice Address - Phone:717-248-4574
Practice Address - Fax:717-248-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABU183165OtherFEDERAL ID NUMBER
PA02543400OtherGROUP ID CAPITAL BLUE CRO
PA02543400OtherGROUP ID CAPITAL BLUE CRO
PA=========OtherTAX ID, FEDERAL IRS NUMBE