Individual provider Active NPI

John Walter Burke, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1235369844
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002211 Issued in PA
Practice address
208 5TH Ave
3 Guys Optical
Pittsburgh, PA 15222-2701
Phone
(412) 281-9199
NPI assigned
Jul 16, 2009
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002211 PA Primary
Optometrist 152W00000X 18003576A IN
Optometrist 152W00000X OPT.5850-THER OH

Addresses

Primary practice location

208 5TH Ave
3 Guys Optical
Pittsburgh, PA 15222-2701

Mailing address

208 5TH Ave
3 Guys Optical
Pittsburgh, PA 15222-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130130000055 PA Practitioner - Optometry 8820242795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

208 5TH Ave
Pittsburgh, PA 15222-2701
Phone (412) 281-9199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003576AINMDOptometrist
OPT.5850-THEROHMDOptometrist
OEG002211PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

208 5th Ave
Pittsburgh, PA 15222
Phone (412) 281-9199

208 5th Ave
#3
Pittsburgh, PA 15222
Phone (412) 281-9199

208 5th Ave
#Three
Pittsburgh, PA 15222
Phone (412) 281-9199

3444 William Penn Hwy
Pittsburgh, PA 15235
Phone (412) 825-5300

10644 Perry Hwy
Wexford, PA 15090
Phone (724) 940-5300

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 3

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1235369844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 5TH AVE",
            "address_2": "3 GUYS OPTICAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152222701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 5TH AVE",
            "address_2": "3 GUYS OPTICAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152222701",
            "telephone_number": "412-281-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002211",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003576A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.5850-THER",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.