Active NPI
Christine Ann Tasso, OD
- Optometrist
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 190
- Practice address
- 7015 Kulchay Cir
Eagle River, AK 99577-9100 - Phone
- (907) 575-2336
- NPI assigned
- Jan 25, 2006
- Last updated
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 190 | AK | Primary |
Addresses
Primary practice location
7015 Kulchay Cir
Eagle River, AK 99577-9100
Mailing address
7015 Kulchay Cir
Eagle River, AK 99577-9100
Phone (907) 575-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD36553 | Medicaid | AK |
Other names 1
- Christine Ann Burchardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14 Great Plains Rd
Arapahoe, WY 82510-9144
Phone 3078569281119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind River Family & Community Healthc Care | Current | Accepting new patients | |
| Cap Eye LLC | Optometrist | Current | Accepting new patients |
| Classic Eyeware | Past | Accepting new patients | |
| Michael J Bennett | Optometrist | Past | Accepting new patients |
| Valley Eye Associates, PC | Optometrist | Past | Accepting new patients |
| Alaska Center for the Blind and Visually Impaired | Past | Accepting new patients | |
| William Y. to, O.D., Inc | Optometrist | Past | Accepting new patients |
Locations
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
3122 E Meridian Park Loop
Ste 2
Wasilla, AK 99654
Phone (907) 357-9595
14 Great Plains Rd
Arapahoe, WY 82510
Organizations & group practices 7
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.
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1285006379
TX
-
- Durable Medical Equipment & Medical Supplies
- Anchorage, AK
- NPI 1407979628
-
- Optician
- Wasilla, AK
- NPI 1013085539
-
- Optometrist
- Wasilla, AK
- NPI 1376633768
-
dba Lifetime Eyecare by Optical Illusions
- Optometrist
- San Mateo, CA
- NPI 1700448925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1043280647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 KULCHAY CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779100",
"telephone_number": "907-575-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 KULCHAY CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779100",
"telephone_number": "907-575-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSO",
"first_name": "CHRISTINE",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AK",
"license": "190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD36553",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BURCHARDT",
"middle_name": "ANN",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.