Curtis D. Burghart, OD, PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1838 Issued in WA

Legal business name

CURTIS D. BURGHART, OD, PS

Practice address

1203 S Gold St
Centralia, WA 98531-3715

Phone

(360) 736-4203

Fax

(360) 736-7059

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Curtis Dean Burghart, O.D.NPI 1649332727

Title

President

Phone

(360) 736-4203

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curtis Dean Burghart, O.D.

  • Optometrist
  • Centralia, WA
  • NPI 1649332727
  Medicare reassignment Care Compare group NPD Authorized official
• Cooper Dale Zurfluh, OD

  • Optometrist
  • Portland, OR
  • NPI 1861062879

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384041600000",
    "number": "1013194281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S GOLD ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313715",
            "telephone_number": "360-736-4203",
            "fax_number": "360-736-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S GOLD ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313715",
            "telephone_number": "360-736-4203",
            "fax_number": "360-736-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS D. BURGHART, OD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-11-10",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-736-4203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Cross, OTR/L
• Rylee Cross
• Leann Crowell, R.D., C.D.
• Bernadette Lacey Cruz
• Kendra Cruz, MEDICAL ASSISTANT
• Katrina Custer
• Lauren Czech
• Leah J Daarud, AAC
• Mateo Dado-Sandoval
• Allison P Dahl

• Optometrist in Centralia, WA
• Providers in Centralia, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.