Active NPI
Lisa Zaid Bursett, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1245329994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3337
- Practice address
- 2323 Eastlake Ave E # 401
Seattle, WA 98102-3305 - Phone
- (206) 632-2237
- Fax
- (206) 632-3811
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3337 | WA | Primary |
Addresses
Primary practice location
2323 Eastlake Ave E # 401
Seattle, WA 98102-3305
Mailing address
2323 Eastlake Ave E # 401
Seattle, WA 98102-3305
Phone (206) 632-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040330001775 | WA | Practitioner - Optometry | 4789676859 | Practice locations: Seattle, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3337 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bursett Optometry PLLC | Optometrist | Past | Accepting new patients |
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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245329994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 EASTLAKE AVE E # 401",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023305",
"telephone_number": "206-632-2237",
"fax_number": "206-632-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 EASTLAKE AVE E # 401",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023305",
"telephone_number": "206-632-2237",
"fax_number": "206-632-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSETT",
"first_name": "LISA",
"middle_name": "ZAID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.