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
- 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 and National Provider Directory roles.
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.