Individual provider Active NPI

Lisa Zaid Bursett, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1245329994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3337 Issued in WA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001775 WA Practitioner - Optometry 4789676859 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3337WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.