Dale Ray Burroughs, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2308 Issued in AR

Practice address

305 Section Line
Hot Springs, AR 71913-6913

Phone

(501) 525-2222

Fax

(501) 525-8650

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hot Springs Visionsource LLC

  • Optometrist
  • Hot Springs, AR
  • NPI 1952532681
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1003807785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SECTION LLINE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136913",
            "telephone_number": "501-525-2222",
            "fax_number": "501-525-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SECTION LINE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136913",
            "telephone_number": "501-525-2222",
            "fax_number": "501-525-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "DALE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102457722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Burks
• Tyrone T Burnell, CCS
• Carlee Burns, DPT
• Steven Carter Burns, PT
• Kimba Kavon Burris, CSS
• Nathan W. Burroughs, MD
• Daryl R Burrows, MD
• Kellie Suzanne Burson, COTA
• Vicki M Burton-Brooks, LCSW
• Courtney Burton

• Optometrist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.