Individual provider Active NPI

Theresa Ann Burns, CERTIFIED OPTICIAN

  • Optician
  • Montrose, CO
National Provider Identifier
1083805766
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008114 Issued in CO
Practice address
314 S 6TH St
Montrose, CO 81401-5719
Phone
(970) 249-3183
Fax
(970) 240-9438
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 008114 CO Primary

Addresses

Primary practice location

314 S 6TH St
Montrose, CO 81401-5719

Mailing address

314 S 6TH St
Montrose, CO 81401-5719
Phone (970) 249-3183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008114COMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1083805766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S 6TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015719",
            "telephone_number": "970-249-3183",
            "fax_number": "970-240-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 6TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015719",
            "telephone_number": "970-249-3183",
            "fax_number": "970-240-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "CERTIFIED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CO",
            "license": "008114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.