Chester I. Bury, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3003 Issued in WA

Practice address

7250 Pacific Ave Ste 1
Tacoma, WA 98408-7128

Phone

(253) 472-1168

Fax

(253) 475-2652

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Vision, Inc.

  • Eyewear Supplier
  • Tacoma, WA
  • NPI 1700827169
  NPD (past)
• The Eye Team, PC

  • Optometrist
  • Albany, OR
  • NPI 1659797025
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1255432241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PACIFIC AVE STE 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087128",
            "telephone_number": "253-472-1168",
            "fax_number": "253-475-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PACIFIC AVE STE 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087128",
            "telephone_number": "253-472-1168",
            "fax_number": "253-475-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY",
        "first_name": "CHESTER",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015048",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Daniel Burton, DPT
• Nyles Christian Burton I, M.D.
• Taketa Burton
• Amy Burtsfield
• Charleen Natalie Buruiana
• Kailah Bush-Johnson
• Jillese Bush
• Lauri Michele Bush
• Lindsay Ann Bush, L.M.T
• Shawna Lyn Bush, LMT

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.