| Doctor Name: | THERESA ANN BURNS |
| NPI Number: | 1083805766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CERTIFIED OPTICIAN |
| License Number: | 008114 |
| Business Practice Address: | 314 S 6th St Montrose, CO - 814015719 |
| Business Phone Number: | 9702493183 |
| Business Fax Number: | 9702409438 |
| Mailing Address: | 314 S 6th St, MONTROSE |
| State: | CO |
| Postal Code: | 814015719 |
| Phone Number: | 9702493183 |
| Fax Number: | 9702409438 |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 008114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |