Tracy D. Burroughs, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1304 Issued in MD

Practice address

806 Landmark Dr
Suite 114
Glen Burnie, MD 21061-4980

Phone

(410) 590-9260

NPI assigned

Jan 12, 2007

Sex

Female

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 MD

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

Southern College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul a Tarantino, M.D.,P.a.Group PAC ID 5991788127, 3 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.

• Paul a Tarantino, M.D.,P.a.

  • Specialist
  • Glen Burnie, MD
  • NPI 1821005059
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1104976760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LANDMARK DR",
            "address_2": "STE 114",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614966",
            "telephone_number": "410-526-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 LANDMARK DR",
            "address_2": "SUITE 114",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614980",
            "telephone_number": "410-590-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "TRACY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Bull, DPT
• Megan Elizabeth Bundy, DPT
• Nia Burley, LCPC
• Louise C Burns, CRNP
• Jacqueline M Burr, RPH
• Burwood Village Dentistry LLC
• Kenneth D Butler Jr.
• Monika K Butz, DPT
• Elaine Bylis, DDS
• Paul Bylis, D.D.S.

• Optometrist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.