Individual provider Active NPI

Santina Marie Burner, OD

  • Optometrist
  • Waldorf, MD
National Provider Identifier
1134853229
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2868 Issued in MD
Practice address
3080 Waldorf Market PL
Waldorf, MD 20603-4872
Phone
(301) 843-9112
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X TA2868 MD Primary

Addresses

Primary practice location

3080 Waldorf Market PL
Waldorf, MD 20603-4872

Mailing address

209 Harry S Truman Dr Apt 33
Largo, MD 20774-2051
Phone (570) 338-5770

Other names 1

  • Santina Possanza Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221022000300 MD Practitioner - Optometry 9830565407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weinstein Eye Associates LLCGroup PAC ID 2466431127, 6 clinicians

Practice addresses (Care Compare)

10700 Town Ctr Blvd
Dunkirk, MD 20754-2736
Phone (443) 550-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weinstein Eye Associates LLC Optometrist CurrentSince Aug 15, 2022 Accepting new patients

Locations

10700 Town Center Blvd
Dunkirk, MD 20754
Phone (443) 550-1800

1215 Annapolis Rd
Ste 103
Odenton, MD 21113
Phone (301) 672-2515

5743 Crain Hwy
Uppr Marlboro, MD 20772
Phone (301) 627-4485

3080 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 843-9112

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1134853229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HARRY S TRUMAN DR APT 33",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742051",
            "telephone_number": "570-338-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "301-843-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNER",
        "first_name": "SANTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANTINA",
            "last_name": "POSSANZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.