Burden, Brenda Lynn
Burden, Brenda Lynn is an individual health care provider with primary practice located at 14050 Juanita Dr Ne Suite A, Kirkland WA 98034-9708. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burden, Brenda Lynn can be contacted via phone (425) 820-2020.Contact Information
Primary practice address
14050 Juanita Dr Ne Suite A
Kirkland WA 98034-9708
Phone: (425) 820-2020
Fax: (425) 821-9576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TX3126 | Washington |
Profile Details
| NPI number | 1760526628 |
|---|---|
| LBN Legal business name | Burden, Brenda Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760526628 | NPPES |
| Washington | Other | G8881012 | MEDICARE INDIVIDUAL PTAN |
| Washington | Other | P00792547 | MEDICARE INDIVIDUAL PTAN |
| Washington | Other | 11719788 | MEDICARE INDIVIDUAL PTAN |
| Washington | Other | 1760526628 | MEDICARE INDIVIDUAL PTAN |
| Washington | MEDICAID | 2021087 | MEDICARE INDIVIDUAL PTAN |
| Washington | Other | 1831822 | MEDICARE INDIVIDUAL PTAN |
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