Organization Active NPI

Burd's Eye View, PC

  • Optometrist
  • Desloge, MO
National Provider Identifier
1083970800
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2009016902 Issued in MO
Legal business name
BURD'S EYE VIEW, PC
Practice address
407 N State St
Desloge, MO 63601-3053
Phone
(573) 431-2974
NPI assigned
Apr 5, 2012
Last updated
Jul 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Dr. Alison Mary Burd, ODNPI 1205064615
Title
Optometrist/Owner
Phone
(573) 562-8096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009016902 MO Primary

Addresses

Primary practice location

407 N State St
Desloge, MO 63601-3053

Mailing address

618 Saint Francois Rd
Bonne Terre, MO 63628-9201
Phone (573) 562-8096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000731 MO Part B Supplier - Clinic/Group Practice 2961663190 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, MO

National Provider Directory

National Provider Directory

Locations

111 W Liberty St
Farmington, MO 63640
Phone (573) 454-2940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1083970800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SAINT FRANCOIS RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636289201",
            "telephone_number": "573-562-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013053",
            "telephone_number": "573-431-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURD'S EYE VIEW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "BURD",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "573-562-8096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009016902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desloge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.