Individual provider Active NPI

Jerry Ray Burger, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1083767628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1391 Issued in AZ
Practice address
4915 N Pima Rd
Scottsdale, AZ 85251-1872
Phone
(480) 423-8800
Fax
(480) 423-8804
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1391 AZ Primary

Addresses

Primary practice location

4915 N Pima Rd
Scottsdale, AZ 85251-1872

Mailing address

5564 E Via Montoya Dr
Phoenix, AZ 85054-7149
Phone (480) 204-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040917000710 AZ Practitioner - Optometry 2365410362 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Onesource Senior Healthcare PLLC Optometrist CurrentSince May 1, 2020 Accepting new patients
Becken Vision Solutions, PLLC Optometrist CurrentSince Dec 16, 2017 Accepting new patients
Carlos L Grandela O.D. PLC CurrentSince Nov 28, 2022 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

1830 S Alma School Rd
Ste 131
Mesa, AZ 85210
Phone (480) 695-2595

4505 E McKellips Rd
Mesa, AZ 85215
Phone (480) 626-5127

21055 E Rittenhouse Rd
Queen Creek, AZ 85142
Phone (480) 457-1882

16427 N Scottsdale Rd
Ste 410
Scottsdale, AZ 85254
Phone (480) 418-1932

7620 E McKellips Rd
Ste 4
Scottsdale, AZ 85257

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 E VIA MONTOYA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850547149",
            "telephone_number": "480-204-0237",
            "fax_number": "480-502-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 N PIMA RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511872",
            "telephone_number": "480-423-8800",
            "fax_number": "480-423-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "JERRY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.