Active NPI
Cateon Burnside, OD
- Optometrist
- Fayetteville, AR
National Provider Identifier
1043056195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2884
- Practice address
- 3689 N Steele Blvd
Fayetteville, AR 72703-5347 - Phone
- (479) 521-2555
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2884 | AR | Primary |
Addresses
Primary practice location
3689 N Steele Blvd
Fayetteville, AR 72703-5347
Mailing address
3689 N Steele Blvd
Fayetteville, AR 72703-5347
Phone (479) 521-2555
Other practice location 1
318 S 52nd St
Rogers, AR 72758-8615
Phone (479) 521-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2884 | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3689 N Steele Blvd
Fayetteville, AR 72703-5347
Phone (479) 521-2555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonald Eye Services, PA | Optometrist | Current | Accepting new patients |
| McDonald Eye Services, PA | Optometrist | Current | Accepting new patients |
Locations
3689 N Steele Blvd
Fayetteville, AR 72703
Phone (479) 249-6006
318 S 52nd St
Rogers, AR 72758
Phone (479) 464-9702
Organizations & group practices 2
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": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1043056195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3689 N STEELE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035347",
"telephone_number": "479-521-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3689 N STEELE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035347",
"telephone_number": "479-521-2555"
}
],
"practiceLocations": [
{
"address_1": "318 S 52nd St",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588615",
"country_code": "US",
"telephone_number": "479-521-2555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNSIDE",
"first_name": "CATEON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-08-20",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2884",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.