Individual provider Active NPI

Amy Leighann Burcham, OD

  • Optometrist
  • Farmers Branch, TX
National Provider Identifier
1023637360
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10005 Issued in TX
Practice address
1801 Valley View LN
Farmers Branch, TX 75234-8906
Phone
(214) 420-5090
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3054 OK
Optometrist 152W00000X 10005 TX Primary

Addresses

Primary practice location

1801 Valley View LN
Farmers Branch, TX 75234-8906

Mailing address

8220 Walnut Hill LN Ste 700
Dallas, TX 75231-4403
Phone (214) 691-8000

Other practice location 1

8220 Walnut Hill Ln Ste 700
Dallas, TX 75231-4403
Phone (214) 691-8000

Other names 1

  • Dr. Amy Leighann Bade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20201102001249 TX Practitioner - Optometry 5496173676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Valley View LN
Farmers Branch, TX 75234-8906
Phone (214) 420-5090

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen B. Saland, M.D., PLLC CurrentSince Aug 1, 2022 Accepting new patients
Cherokee Nation CurrentSince Jul 30, 2020 Accepting new patients
Cherokee Nation Current Accepting new patients
Dallas Lighthouse for the Blind, Inc CurrentSince Nov 3, 2024 Accepting new patients
Beacon Vision Center PLLC CurrentSince Nov 14, 2023 Accepting new patients
Cherokee Nation CurrentSince Jul 30, 2020 Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

8220 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 691-8000

1801 Valley View Ln
Farmers Branch, TX 75234
Phone (214) 420-5090

Interoperability endpoints

  • Direct secure messaging: amy.bade@direct.revolutionehr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1023637360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314403",
            "telephone_number": "214-691-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VALLEY VIEW LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348906",
            "telephone_number": "214-420-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Walnut Hill Ln Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314403",
            "country_code": "US",
            "telephone_number": "214-691-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHAM",
        "first_name": "AMY",
        "middle_name": "LEIGHANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3054",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BADE",
            "middle_name": "LEIGHANN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.