Carrie M Burleson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2293 Issued in CO

Practice address

13605 Xavier LN Ste G
Broomfield, CO 80023-3603

Phone

(303) 951-1820

NPI assigned

Jan 25, 2006

Last updated

Jun 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carrie M Breusing Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

University of Missouri St Louis - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Front Range Eye Associates PCGroup PAC ID 0446253652, 5 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.

• Front Range Eye Associates, PC

  • Optometrist
  • Broomfield, CO
  • NPI 1760418156
  Medicare reassignment Care Compare group NPD
• Arvada Eyecare LLC

  • Optometrist
  • Arvada, CO
  • NPI 1497856017
  Medicare reassignment
• American Vision Center PC

  • Optometrist
  • Denver, CO
  • NPI 1669416293
  NPD (past)
• American Vision Center, PC

  • Optometrist
  • Denver, CO
  • NPI 1083169627
  NPD (past)
• Children's Eye Physicians P.C.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Boulder, CO
  • NPI 1336758184
  NPD (past)
• Oneopto Co 1 PLLC

  dba Arvada Eye Care

  • Optometrist
  • Arvada, CO
  • NPI 1932059870
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1063482560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN STE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-951-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN STE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-951-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16205 W 64th Ave",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800077401",
            "country_code": "US",
            "telephone_number": "303-424-2991",
            "fax_number": "303-467-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "CARRIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BREUSING",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Optometrist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.