Burton E Worrell, O.D.

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

4977T Issued in CA

Practice address

545 Meridian Ave Ste G
San Jose, CA 95126-3451

Phone

(408) 947-2020

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 1968

Medicare assignment

May accept Medicare assignment

Group practices

Advance Vision Center of Optometry P CGroup PAC ID 6507801818, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Advance Vision Center of Optometry, P C

  • Health Maintenance Organization
  • San Jose, CA
  • NPI 1174680771
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083762512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MERIDIAN AVE STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263451",
            "telephone_number": "408-947-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MERIDIAN AVE STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263451",
            "telephone_number": "408-947-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "BURTON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "4977T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Working Feet Clinic, P.C.
• Assefa Worku, MD
• World of Health
• World Trekker LLC
• Worldlife Investment Inc
• Terrell Worthy, PPS
• Katherine Woten, RD
• Ann Marie Wotherspoon, D.P.M.
• Richard Charles Wren
• Yoevita Wrensch, L.AC.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.