Active NPI
Lynda Marie Burr, OD
- Optometrist
- Cedar Rapids, IA
National Provider Identifier
1144225194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02197
- Practice address
- 4444 1St Ave NE
Ste 575
Cedar Rapids, IA 52402-3243 - Phone
- (319) 395-7692
- NPI assigned
- Jun 16, 2005
- Reactivated
- Mar 27, 2006
- Last updated
- Jan 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02197 | IA | Primary |
Addresses
Primary practice location
4444 1St Ave NE
Ste 575
Cedar Rapids, IA 52402-3243
Mailing address
4444 1St Ave NE
Ste 575
Cedar Rapids, IA 52402-3243
Phone (319) 395-7692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35489 | Other | IA | BLUE CROSS BLUE SHIELD |
| 4264689 | Medicaid | IA |
Other names 1
- Dr. Lynda Marie Burr-Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1144225194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 1ST AVE NE",
"address_2": "STE 575",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023243",
"telephone_number": "319-395-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 1ST AVE NE",
"address_2": "STE 575",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023243",
"telephone_number": "319-395-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURR",
"first_name": "LYNDA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2017-01-09",
"deactivation_date": "2006-03-18",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "35489",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4264689",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "BURR-BAKER",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.