Brent D. Burch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002685A Issued in IN

Practice address

7625 Southtown Xing
Fort Wayne, IN 46816-2517

Phone

(260) 447-9731

Fax

(260) 441-8276

NPI assigned

Sep 24, 2008

Last updated

Dec 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evans Eye Care Inc

  dba Evans & Taylor Eye Care Group

  • Optometrist
  • Lafayette, IN
  • NPI 1992784599
  Medicare reassignment Care Compare group NPD
• Better Visions, P.C.

  • Optometrist
  • Leo, IN
  • NPI 1003902339
  NPD (past)
• Westrick Family Eye Care P C

  • Optometrist
  • Columbia City, IN
  • NPI 1376717017
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1033369244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 HOSLER RD STE A",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659736",
            "telephone_number": "260-627-2669",
            "fax_number": "260-627-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 SOUTHTOWN XING",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468162517",
            "telephone_number": "260-447-9731",
            "fax_number": "260-441-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "BRENT",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2358",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002685A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Bunn
• Abbey K. Bunnell, NP
• Thomas Alan Bunner, DDS
• Kathren A Bunt, L. AC.
• John Anthony Buonocore, D.O.
• Katelyn Burcham, RBT
• Kenneth Alan Burckardt, M.D.
• Jayson Paul Ferd Burden, OD
• James E Burg, LMFT, LMHC, PHD
• Geneva Burgess

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.