Active NPI
Stanley Joel Burns, OD
- Optometrist
- Landover, MD
National Provider Identifier
1174540652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8601
- Practice address
- 4301 Garden City Drive
Landover, MD 20783 - Phone
- (301) 459-8252
- Fax
- (301) 577-5341
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8601 | MD | Primary |
| Optometrist | 152W00000X | 574 | VA |
Addresses
Primary practice location
4301 Garden City Drive
Landover, MD 20783
Mailing address
2811 Lord Baltimore Dr
Baltimore, MD 21244
Phone (443) 316-2101
Other names 1
- Dr. Stanley J Burns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8601 | MD | MD | Mental Health Counselor |
| 574 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Visionworks Doctors of Optometry
- Eyewear Supplier
- Alexandria, VA
- NPI 1063454460
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174540652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LORD BALTIMORE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21244",
"telephone_number": "443-316-2101",
"fax_number": "410-265-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GARDEN CITY DRIVE",
"city": "LANDOVER",
"state": "MD",
"postal_code": "20783",
"telephone_number": "301-459-8252",
"fax_number": "301-577-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "STANLEY",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "8601",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STANLEY",
"last_name": "BURNS",
"middle_name": "J",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.