Active NPI
Robert Leslie Burns, O.D.
- Optometrist
- Lewistown, PA
National Provider Identifier
1225012818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000614
- Practice address
- 54 Chestnut St
Lewistown, PA 17044-2201 - Phone
- (717) 248-4574
- Fax
- (717) 248-3937
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- 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 | OEG000614 | PA | Primary |
Addresses
Primary practice location
54 Chestnut St
Lewistown, PA 17044-2201
Mailing address
149 Walnut St
PO Box 18
Reedsville, PA 17084-0018
Phone (717) 667-6473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OEG000614 | Other | PA | STATE OPTOMETRIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101202000148 | PA | Practitioner - Optometry | 6901919026 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000614 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225012818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 WALNUT ST",
"address_2": "PO BOX 18",
"city": "REEDSVILLE",
"state": "PA",
"postal_code": "170840018",
"telephone_number": "717-667-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CHESTNUT ST",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170442201",
"telephone_number": "717-248-4574",
"fax_number": "717-248-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ROBERT",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OPTOMETRIC LICENSE",
"identifier": "OEG000614",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.