Individual provider Active NPI

Karri A Buresh, OD

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1124009824
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
53506379931 Issued in UT
Practice address
250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Phone
(801) 322-0467
Fax
(801) 363-6053
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 53506379931 UT Primary

Addresses

Primary practice location

250 E 300 S Ste 380
Salt Lake City, UT 84111-2428

Mailing address

250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20031111000936 UT Practitioner - Optometry 1557274800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berner Eye Clinic IncGroup PAC ID 9537145875, 5 clinicians

Practice addresses (Care Compare)

250 E Broadway
Suite 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53506379931UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berner Eye Clinic, Inc Optometrist CurrentSince May 1, 2005 Accepting new patients

Locations

250 E Broadway
Ste 110
Salt Lake City, UT 84111
Phone (801) 322-0467

250 E Broadway
Salt Lake Cty, UT 84111
Phone (801) 322-0467

250 E Broadway
Ste 380
Slc, UT 84111
Phone (801) 322-0467

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1124009824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 300 S STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112428",
            "telephone_number": "801-322-0467",
            "fax_number": "801-363-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 300 S STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112428",
            "telephone_number": "801-322-0467",
            "fax_number": "801-363-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURESH",
        "first_name": "KARRI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "53506379931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.