Burns, Robert

Burns, Robert is an individual health care provider with primary practice located at 1013 East Freeway Drive , Conyers GA 30094. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burns, Robert can be contacted via phone (770) 922-7906.

Contact Information

Primary practice address
1013 East Freeway Drive Conyers GA 30094
Fax: (770) 483-0498
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 796 Georgia

Profile Details

NPI number 1518053065
LBN Legal business name Burns, Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518053065 NPPES
Georgia Other 33529 AVESIS
Georgia Other 0004268918 AVESIS
Georgia Other 0492377 AVESIS
Georgia Other 146614 AVESIS
Georgia Other GA0796 AVESIS

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