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Contact Information

BRENDA L BURDEN, OD
14050 JUANITA DR NE
SUITE A
KIRKLAND, WA98034-9708
 Phone: 425-820-2020
 Fax: 425-821-9576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRENDA L BURDEN · (Female)

NPI # 1760526628
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/16/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # TX3126
  • WA Medicaid 2021087
  • WA Other 11719788 CAQH PERSONAL ID#
  • WA Other 1831822 CHPW INDIVIDUAL ID#
  • WA Other G8881012 MEDICARE INDIVIDUAL PTAN
  • WA Other 1760526628 NPI PERSONAL
  • WA Other P00792547 RAILROAD MEDICARE INDIVIDUAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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