Christopher A Burgess, O.D., MPH

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002739 Issued in MI

Practice address

750 Stewart Rd
Suite #2
Monroe, MI 48162-4291

Phone

(734) 242-8630

Fax

(734) 242-8666

NPI assigned

Nov 17, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Medical Arts Eye Care PC

  • Eyewear Supplier
  • Monroe, MI
  • NPI 1144303751
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023182573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44038 PARKSIDE ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872117",
            "telephone_number": "734-459-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STEWART RD",
            "address_2": "SUITE #2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624291",
            "telephone_number": "734-242-8630",
            "fax_number": "734-242-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "O.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMERCIAL BCBS MI VISION",
            "identifier": "CB002739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Bryant
• Christine Lynn Buckley, LLMFT
• Ronie R Buckley, S.T.
• Jordan Buckner
• Emily Rebecca Buddemeyer, NP-C
• Jennifer Lynn Burgess
• Monika Burkardt
• Patrick Burkardt, DDS
• Breann Burkey
• Angela Burkholder, PA

• Optometrist in Monroe, MI
• Providers in Monroe, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.