Active NPI
David Watkins Burke, COT
- Ophthalmic Technician/Technologist
- Conover, NC
National Provider Identifier
1255454468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 42218
- Practice address
- 3521 Graystone PL
Conover, NC 28613-8201 - Phone
- (828) 322-2050
- Fax
- (828) 324-4271
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 42218 | NC | Primary |
Addresses
Primary practice location
3521 Graystone PL
Conover, NC 28613-8201
Mailing address
PO Box 3122
Morganton, NC 28680-3122
Phone (828) 433-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42218 | NC | MD | Ophthalmic Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graystone Ophthalmology Associates, PA | 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.
-
dba Graystone Retina Center
- Ophthalmology Physician
- Hickory, NC
- NPI 1992660740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255454468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3122",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286803122",
"telephone_number": "828-433-5760",
"fax_number": "828-324-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 GRAYSTONE PL",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138201",
"telephone_number": "828-322-2050",
"fax_number": "828-324-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DAVID",
"middle_name": "WATKINS",
"credential": "COT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "NC",
"license": "42218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
- Brosis Management of Catawba County (Conover Nursing & Rehabilitation Center)
- Kevin Eugene Brown, D.M.D., M.S.
- Bruce a Hilton PA
- George Norman Bryan, DDS
- Norris Franklin Buff, RPH
- Jessica Burton, FNP-BC
- Luke Byrnes, M.D.
- Cabral Internal Medicine PLLC
- John Wilson Caldwell III, PHARMACIST
- Rachele Jean Caputo, LCMHC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.