Individual provider Active NPI

Cateon Burnside, OD

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1043056195
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2884 Issued in AR
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2884OtherARSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823001679 AR Practitioner - Optometry 9234678194 Reassigns benefits to 1 organization

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
McDonald Eye Services P.a.Group PAC ID 7719995117, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
McDonald Eye Services, PA Optometrist CurrentSince Jul 10, 2024 Accepting new patients
McDonald Eye Services, PA Optometrist CurrentSince Jul 10, 2024 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

Verify at the official NPI Registry.