Active NPI
David Boyle Burnett, O.D.
- Optometrist
- Riverdale, UT
National Provider Identifier
1073520680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 56760929934
- Practice address
- 4848 S 900 W
Riverdale, UT 84405-3726 - Phone
- (801) 627-9868
- Fax
- (801) 627-9870
- NPI assigned
- Aug 3, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- 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 | 56760929934 | UT | Primary |
Addresses
Primary practice location
4848 S 900 W
Riverdale, UT 84405-3726
Mailing address
298 24TH St Ste 315
Ogden, UT 84401-1891
Phone (801) 393-4413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56760929934 | Other | UT | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxe Vision Utah LLC | Optometrist | Current | Accepting new patients |
| David B. Burnett P.C. | Optometrist | Past | Accepting new patients |
Locations
8734 S 700 E
Ste 240
Sandy, UT 84070
Phone (801) 448-7385
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 4
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.
-
- Optometrist
- Kaysville, UT
- NPI 1568002780
-
- Optometrist
- Ogden, UT
- NPI 1043633480
-
- Optometrist
- Riverdale, UT
- NPI 1245558519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1073520680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 24TH ST STE 315",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011891",
"telephone_number": "801-393-4413",
"fax_number": "801-392-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4848 S 900 W",
"city": "RIVERDALE",
"state": "UT",
"postal_code": "844053726",
"telephone_number": "801-627-9868",
"fax_number": "801-627-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "DAVID",
"middle_name": "BOYLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "56760929934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "56760929934",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.