Individual provider Active NPI

Michael Burton, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1144285891
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3411TG Issued in TX
Practice address
3900 W Wheatland Rd
Dallas, TX 75237-3468
Phone
(972) 780-7199
NPI assigned
Apr 18, 2006
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3411TG TX Primary

Addresses

Primary practice location

3900 W Wheatland Rd
Dallas, TX 75237-3468

Mailing address

3900 W Wheatland Rd
Dallas, TX 75237-3468
Phone (972) 780-7099

Other identifiers 10

IdentifierTypeStateIssuer
DN6483OtherRAILROAD GROUP PTAN#
1144285891OtherTXRAILROAD - GROUP MEMBER NPI#
005FBOtherTXBCBSTX - GROUP#
P00630768OtherTXRAILROAD - GROUP MEMBER PTAN#
197166501OtherTXMEDICAD - GROUP TPI#
410006619OtherTXRAILROAD - PROVIDER ID#
80349QOtherTXBLUE CROSS BLUE SHIELD
112397804MedicaidTX
1548489388OtherTXRAILROAD - GROUP- NPI#
00Y945OtherTXNSC -MEDICARE GROUP PTAN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080430000271 TX Practitioner - Optometry 3971682113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T and B Eye Care Services, LPGroup PAC ID 7719066950, 2 clinicians

Practice addresses (Care Compare)

3900 W Wheatland Rd
Dallas, TX 75237-3468
Phone (972) 780-7199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3411TGTXMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1144285891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373468",
            "telephone_number": "972-780-7099",
            "fax_number": "972-780-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373468",
            "telephone_number": "972-780-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3411TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PTAN#",
            "identifier": "DN6483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD - GROUP MEMBER NPI#",
            "identifier": "1144285891",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX - GROUP#",
            "identifier": "005FB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD - GROUP MEMBER PTAN#",
            "identifier": "P00630768",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAD - GROUP TPI#",
            "identifier": "197166501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD - PROVIDER ID#",
            "identifier": "410006619",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80349Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112397804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD - GROUP- NPI#",
            "identifier": "1548489388",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC -MEDICARE GROUP PTAN#",
            "identifier": "00Y945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.