IndividualActive
Crystal Burns
NPI 1699405795 · Optician · Paducah, KY
Provider details
- NPI number
- 1699405795
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 109912 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3220 Irvin Cobb Dr
Paducah, KY 42003-0337
Phone: (270) 444-7824
Fax: (270) 444-9052
Approximate (ZIP-level) locationGet directions
Mailing address
3220 Irvin Cobb Dr
Paducah, KY 42003-2196
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.