Organization Active NPI

Pco PC

Doing business as Burton Vision Center

  • Optometrist
  • Davison, MI
National Provider Identifier
1114082047
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004063 Issued in MI
Legal business name
PCO PC
Doing business as
Burton Vision Center
Lambaria Eye & Optical
Lambaria Eyecare Associates1 more in Other names
Practice address
1063 S State Rd Ste 3
Davison, MI 48423-1900
Phone
(810) 658-2020
Fax
(810) 658-2021
NPI assigned
Dec 22, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Andres Lambaria, ODNPI 1508834821
Title
President
Phone
(810) 730-9790

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 4901004063 MI Primary

Addresses

Primary practice location

1063 S State Rd Ste 3
Davison, MI 48423-1900

Mailing address

1063 S State Rd Ste 3
Davison, MI 48423-1900
Phone (810) 658-2020

Other identifiers 2

IdentifierTypeStateIssuer
900B519890OtherMIBLUE CROSS BLUE SHIELD
4475558MedicaidMI

Other names 4

  • Burton Vision Center Doing business as
  • Lambaria Eye & Optical Doing business as
  • Lambaria Eyecare Associates Doing business as
  • Swartz Creek Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000446 MI Part B Supplier - Clinic/Group Practice 4385746320 Receives reassigned benefits from 3 practitioners
Practice locations: Davison, MI; Swartz Creek, MI

National Provider Directory

National Provider Directory

Locations

3191 S Linden Rd
Flint, MI 48507
Phone (810) 733-4252

Practitioners & affiliated clinicians

Practitioners 6

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1114082047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 3",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-658-2020",
            "fax_number": "810-658-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 3",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-658-2020",
            "fax_number": "810-658-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "LAMBARIA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-730-9790",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900B519890",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4475558",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burton Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lambaria Eye & Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lambaria Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lambaria Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swartz Creek Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.